Individual
MS. MARIA LUISA MANALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-9564
(212) 342-3591
Mailing address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-9564
(212) 342-3591
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2021119042
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
432285
NY
Other
Enumeration date
01/20/2022
Last updated
06/15/2022
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