MS. ALYSSA BROOKE MANCUSO


Address: 711 Stewart Ave, Ste 160, Garden City, NY 11530-4731
Phone: 5165004200

MS. ALYSSA BROOKE MANCUSO (NPI# 1992123814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992123814
Entity Type Individual
Full Name MS. ALYSSA BROOKE MANCUSO
Credential OD
Practice Address 711 Stewart Ave
Ste 160
Garden City
NY 11530-4731
Mailing Address 825 E Gate Blvd Ste 111
Garden City
NY 11530-2136
Practice Telephone 5165004200
Practice Fax Number 5164004124
Mailing Telephone 5168045200
Enumeration Date 2014-03-29
Last Update Date 2019-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist TUV008066 NY Eye and Vision Services Providers

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1447620687 Alyssa Mancuso Counselor 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 2015-09-30
1831467117 Alyssa Mancuso Registered Nurse 5121 Stockdale Hwy Ste 275, Bakersfield, CA 93309-2667 2011-12-01

Office Location

Street Address 711 STEWART AVE
STE 160
City GARDEN CITY
State NY
Zip Code 11530-4731

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891790770 Eric D Donnenfeld Ophthalmology 711 Stewart Ave, Ste 160, Garden City, NY 11530-4731 2005-06-16
1235737479 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 711 Stewart Ave, Garden City, NY 11530-4731 2020-10-10
1881185973 Sharon Hochhauser Nurse Practitioner 711 Stewart Ave, Garden City, NY 11530-4731 2018-05-23
1245583152 Usv Optical Inc. Technician/Technologist 711 Stewart Ave, Garden City, NY 11530-4731 2012-10-17
1467741751 Chase Rowley Physical Therapist 711 Stewart Ave, Garden City, NY 11530-4731 2011-04-07
1770718009 Endoscopy Center of Long Island LLC Clinic/Center 711 Stewart Ave, Suite 114, Garden City, NY 11530-4731 2009-05-15
1760633598 Judi A. Luttieri Physical Therapist 711 Stewart Ave, Garden City, NY 11530-4731 2008-10-10
1275697161 James M Sullivan Internal Medicine 711 Stewart Ave, Garden City, NY 11530-4731 2006-12-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144850207 Ellen Jay Palacio Mabatid Physical Therapist 66 New Hyde Park, Garden City, NY 11530 2020-01-16
1255991022 Rubin Anesthesia Pain Management, Pllc Anesthesiology 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 2019-06-14
1144793720 Jack Doby Garden City, LLC Eyewear Supplier (Equipment, not the service) Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 2019-01-07
1386135051 Granger & Sahasra Dentist 1103 Stewart Avenue Suite 104, Garden City, NY 11530 2018-05-29
1598262537 Suzanne P. Reid-bradshaw Specialist Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 2018-04-06
1972021129 Nicole Maria Gaudino Nurse Practitioner One South Avenue, Waldo Hall, Garden City, NY 11530 2017-09-07
1619495645 Christine Scheppa Registered Nurse 225 Brompton Rd South, Garden City South, NY 11530 2017-08-30
1699290981 Deborah Ann Pontosky Registered Nurse 104 Fifth Street, Garden City, NY 11530 2017-08-08
1932648748 Tahmina Jahir Student in an Organized Health Care Education/Training Program 15 Hilton Ave, Garden City, NY 11530 2017-02-14
1598209173 Dino Michelli Specialist 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 2016-12-15
Find all providers in zip 11530

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699205088 Jared Torres Optometrist 3101 E Kansas Ave Ste 9, Garden City, KS 67846-6994 2017-06-18
1346600624 Ani Panoyan Optometrist 200 Garden City Plaza Ste 130, Garden City, NY 11530 2016-03-01
1366720542 Alan R. Cohen Optometrist Roosevlt Field Mall, 630 Old Country Road, Garden City, NY 11530-3467 2011-07-22
1649420472 Cheryl Israeloff Optometrist 300 Garden City Plz Ste 404, Garden City, NY 11530 2008-09-29
1588857684 Kenzie Eye Care Inc. Optometrist 29316 Ford Rd, Garden City, MI 48135-2848 2007-08-22
1831245943 Gale Ellen Grabowski Optometrist 5932 Middlebelt, Garden City, MI 48135 2007-01-25
1336233576 Real Optical Optometrist 100 Quentin Roosevelt Blvd, Suite 400, Garden City, NY 11530-4874 2006-10-03
1184715823 Kristina R Reimer Optometrist 410 N Campus Dr, Garden City, KS 67846-6134 2006-09-27
1124049499 Fry Eye Associates Pa Optometrist 310 E Walnut St, Suite 101, Garden City, KS 67846-5560 2006-07-22
1841251568 Vicki Spivack Gelberg Optometrist 600 Old Country Rd, Davis Vision, Garden City, NY 11530 2006-03-31
Find all providers in GARDEN CITY

Competitor

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City GARDEN CITY
Zip Code 11530

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Dataset Information

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.

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