Individual
ANDREA MAMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
251 SEAMAN AVE APT 3B, NEW YORK, NY 10034-1272
(646) 387-4496
Mailing address
251 SEAMAN AVE APT 3B, NEW YORK, NY 10034-1272
(646) 387-4496
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
027179-1
NY
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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