Individual
JOHN MANTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1023 STATE ST, SCHENECTADY, NY 12307-1511
(518) 243-3300
Mailing address
600 MCCLELLAN ST, SCHENECTADY, NY 12304-1009
(518) 243-4000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
728236
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403396
NY
Other
Enumeration date
04/28/2021
Last updated
06/21/2021
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