Edward H. Cussatti,m.D., P.C.,llc
Surgery in West Islip, NY. Organization (NPI-2).
NPI number1104094556
StatusActive
Last updated in NPPESApr 2, 2008
Details
- NPI
- 1104094556
- Entity type
- Organization (NPI-2)
- Legal business name
- Edward H. Cussatti,m.D., P.C.,llc
- Organization subpart
- No
- Enumeration date
- Feb 19, 2008
- Last updated
- Apr 2, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 2278601 | NY | Yes |
Practice location
754 Montauk HwyWest Islip, NY 11795-4908
Phone 631-422-0909 · Fax 631-422-6660
Mailing address
754 Montauk HwyPo Box 70
West Islip, NY 11795-4908
Phone 631-422-0909 · Fax 631-422-6660
Authorized official
Edward Hugo Cussatti
Ceo
6314220909
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