National Provider Identifier
Ryan Mancuso, DDS
Ryan Mancuso, DDS is listed in the NPPES registry with a primary specialty of Dentist in Canandaigua, NY and a listed phone number of (854) 716-7845.
Profile Overview
- NPI
- 1164001509
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- April 05, 2021
- Last Updated
- July 23, 2022
Practice Location
- 329 S Main St
- Canandaigua, NY 14424-2118
Phone: (854) 716-7845
Mailing Address
- 2450 County Road 28 Unit K3
- Canandaigua, NY 14424-8185
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1164001509
- Entity Type
- Individual
- Last Name
- Mancuso
- First Name
- Ryan
- Credential
- DDS
- Mailing Street Address
- 2450 County Road 28 Unit K3
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-8185
- Mailing Country
- US
- Mailing Phone
- (716) 581-2963
- Practice Street Address
- 329 S Main St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-2118
- Practice Country
- US
- Practice Phone
- (854) 716-7845
- Enumeration Date
- April 05, 2021
- Last Updated
- July 23, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 23, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)