Dr Phillip J Cusano, MD | |
116 Interstate Pkwy, Bradford, PA 16701-1036 | |
(814) 362-8674 | |
Not Available |
Full Name | Dr Phillip J Cusano |
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Gender | Male |
Speciality | Anesthesiology |
Location | 116 Interstate Pkwy, Bradford, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619948908 | NPI | - | NPPES |
1012850420 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 234708 (New York) | Secondary |
207L00000X | Anesthesiology | MD435560 (Pennsylvania) | Primary |
Entity Name | Allied Anesthesia Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346267267 PECOS PAC ID: 6103728407 Enrollment ID: O20040126001001 |
Entity Name | County Of San Joaquin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287 |
Entity Name | Premier Anesthesia Of California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770691859 PECOS PAC ID: 5092897025 Enrollment ID: O20080130000444 |
Entity Name | Valley Regional Anesthesia Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20230120001928 |
Mailing Address | Practice Location Address |
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Dr Phillip J Cusano, MD 908 Niagara Falls Blvd, Suite 208, North Tonawanda, NY 14120-2019 Ph: (716) 692-2160 | Dr Phillip J Cusano, MD 116 Interstate Pkwy, Bradford, PA 16701-1036 Ph: (814) 362-8674 |
Donghui Chen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 116 Interstate Pkwy, Bradford, PA 16701 Phone: 814-362-8674 Fax: 814-362-8695 |