Individual
HEATHER LEE MANNKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 NY-111, SMITHTOWN, NY 11787
(631) 920-8300
Mailing address
11 NY-111, SMITHTOWN, NY 11787
(631) 920-8300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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