Individual
MRS. GINA MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 HIGH ST STE 201, HUNTINGTON, NY 11743-3417
(631) 423-7700
Mailing address
182 FLOWER HILL RD, HALESITE, NY 11743-2311
(631) 335-7720
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
308682901
NY
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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