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Individual

DR. JOSEPH MANCINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
114313
NY
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
114313
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01684591
NY
01
80114787
RAILROAD MEDICARE
NY
Enumeration date
05/05/2006
Last updated
09/11/2025
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