National Provider Identifier

Madelene Kirsten Mancuso, PMHNP

Madelene Kirsten Mancuso, PMHNP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Rochester, NY and a listed phone number of (585) 271-2520.

NPI 1164194221Rochester, NYPsychiatric/Mental Health Nurse Practitioner

Profile Overview

NPI
1164194221
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Nurse Practitioner
Enumeration Date
September 28, 2021
Last Updated
June 09, 2025

Practice Location

  • 1000 Elmwood Ave
  • Rochester, NY 14620-3042

Phone: (585) 271-2520

Specialties

  • Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
NPI
1164194221
Entity Type
Individual
Last Name
Mancuso
First Name
Madelene
Middle Name
Kirsten
Credential
PMHNP
Provider Other Last Name
Weick
Provider Other First Name
Madelene
Provider Other Middle Name
Kirsten
Provider Other Last Name Type Code
1
Mailing Street Address
1000 Elmwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-3042
Mailing Country
US
Mailing Phone
(585) 271-2520
Practice Street Address
1000 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-3042
Practice Country
US
Practice Phone
(585) 271-2520
Practice Fax
(585) 286-9220
Enumeration Date
September 28, 2021
Last Updated
June 09, 2025
Sex
Female
Sole Proprietor
No
Certification Date
June 09, 2025
Taxonomies
Psychiatric/Mental Health Nurse Practitioner (363LP0808X)