MR. JEFFREY CUSACK, D.P.M.
Podiatrist
Active
Individual
NPI: 1336148220
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Podiatrist | 213E00000X | Yes | N003228-1 (NY) |
Frequently Asked Questions
NPI 1336148220 is the National Provider Identifier for MR. JEFFREY CUSACK, D.P.M., a Podiatrist provider located in East Northport, NY. This NPI was enumerated on July 21, 2005.
MR. JEFFREY CUSACK, D.P.M. practices at 1172 5TH AVE, East Northport, NY 11731.
Quick Facts
- NPI
- 1336148220
- Type
- Individual
- Enumerated
- Jul 21, 2005
- Last Updated
- Dec 28, 2007
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