IndividualActive
Gloria Mancuso, OG NP
NPI 1962411181 · Obstetrics & Gynecology Nurse Practitioner · Patchogue, NY
Provider details
- NPI number
- 1962411181
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- OG NP
- Sex
- Female
- Sole proprietor
- No
- License
- F390002 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
365 East Main St
South Brookhaven Health Center West
Patchogue, NY 11772
Phone: (631) 854-1307
Fax: (631) 854-1310
Approximate (ZIP-level) locationGet directions
Mailing address
365 East Main St
Patchogue, NY 11772
Registry dates
- Enumerated
- 2006-08-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.