DAVID A MANCUSO (NPI# 1528110988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528110988 |
| Entity Type | Individual |
| Full Name | DAVID A MANCUSO |
| Credential | LCSW |
| Practice Address |
1402 Genesee St Utica NY 13502-4727 |
| Mailing Address |
Po Box 8307 Utica NY 13505-8307 |
| Practice Telephone | 3157358913 |
| Mailing Telephone | 3157358913 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R058445-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01528427 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184061327 | David Mancuso | Social Worker | 131 French King Highway, Work, Greenfield, MA 01301 | 2013-05-29 |
| 1477858173 | David B Mancuso | Pharmacist | 4170 Nw 50th Dr Apt 5108, Gainesville, FL 32606-4588 | 2011-01-11 |
| 1053974063 | David J Mancuso | Massage Therapist | 4602 Eastpark Blvd, Madison, WI 53718-2002 | 2019-04-16 |
| 1962608620 | David Mancuso | Physical Therapist | 75 Kings Hwy E Fl 4, Fairfield, CT 06825-4823 | 2007-06-21 |
| 1952413668 | David A Mancuso | Chiropractor | 18205 N 51st Ave, Suite 113, Glendale, AZ 85308-1490 | 2006-08-31 |
| Street Address |
1402 GENESEE ST |
| City | UTICA |
| State | NY |
| Zip Code | 13502-4727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376642306 | Lisa Blanchfield | Counselor | 1402 Genesee St, Utica, NY 13502-4727 | 2006-09-22 |
| 1376798652 | Falcon Group International Corp | Internal Medicine | 1402 Genesee St, Utica, NY 13502-4727 | 2008-11-30 |
| 1033362728 | Deborah Anne Destefanis | Mechanotherapist | 1402 Genesee St, Suite 201, Utica, NY 13502-4727 | 2008-10-28 |
| 1811049265 | Da Mancuso Counseling | Counselor | 1402 Genesee St, Utica, NY 13502-4727 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1487026902 | Tammy Lesniak | Counselor | 11111 Hall Rd Ste 422, Utica, MI 48317-5716 | 2015-10-23 |
| 1205136009 | Joseph C Janice | Counselor | 168 Country Rd, Utica, NY 13502-7652 | 2010-10-26 |
| 1376667840 | Marjorie Ann Frazier | Counselor | 2626 Glenwood Rd, Utica, NY 13501-6323 | 2007-03-19 |
| 1962031906 | Robert David Wood | Counselor | 2606 Genesee St, Utica, NY 13502-6003 | 2020-04-02 |
| 1184253221 | Sarah Decker | Counselor | 2606 Genesee St, Utica, NY 13502-6003 | 2020-04-01 |
| 1588293617 | Nicole Siriano | Counselor | 2606 Genesee St, Utica, NY 13502-6003 | 2020-04-01 |
| 1760035646 | Kelsey Ann Mooney | Counselor | 1612 Genesee St, Utica, NY 13502-5425 | 2019-07-19 |
| 1477117661 | Desiree' Nemo | Counselor | 502 Court St Ste 210, Utica, NY 13502-4233 | 2019-04-24 |
| Find all providers in UTICA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.