IndividualActive
Dominic Cusato
NPI 1437029618 · Family Health Clinical Nurse Specialist · Bala Cynwyd, PA
Provider details
- NPI number
- 1437029618
- Entity type
- Individual
- Primary specialty
- Family Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- SP28425 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
225 E City Ave Ste 10
Bala Cynwyd, PA 19004-1724
Phone: (215) 503-3838
Approximate (ZIP-level) locationGet directions
Mailing address
1304 S 36th St
Philadelphia, PA 19146-3204
Registry dates
- Enumerated
- 2025-11-11
- Last updated
- 2025-11-11
- Certified
- 2025-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.