# SANDRA MANNINO PT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326589615
- **Authorized official:** MS. SANDRA MANNINO PT (PHYSICAL THERAPIST)
- **Authorized official phone:** (917) 468-7528

## Contact information

- **Practice address:** 6 GALLEON LN, EAST SETAUKET, NY 11733-1816
- **Practice address phone:** (917) 468-7528
- **Mailing address:** 6 GALLEON LN, EAST SETAUKET, NY 11733-1816
- **Mailing address phone:** (917) 468-7528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 014207-1 | NY | Yes |

## Other

- **Enumeration date:** 03/20/2017
- **Last updated:** 03/20/2017