MS. SUSAN CARRIE MANCUSO FNP NPI 1063413375

NPI Information

  • NPI: 1063413375
  • Provider Name: MS. SUSAN CARRIE MANCUSO, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 3435 MAIN ST
    UNIVERSITY OF BUFFALO /MICHAEL HALL
    BUFFALO, NY
    ZIP 14214
  • Phone: (716) 829-3316

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NPI Details

MS. Susan Carrie Mancuso, FNP is a family nurse practitioner in Buffalo, NY. MS. Susan Carrie Mancuso, FNP NPI is 1063413375. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3435 MAIN ST
UNIVERSITY OF BUFFALO /MICHAEL HALL
BUFFALO, NY
ZIP 14214-001
Phone: (716) 829-3316
Fax: (716) 829-2564

The enumeration date for this NPI number is 8/9/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyF330754-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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