Individual
KEIRY GISELLE MANZANARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 E ROGUES PATH, HUNTINGTON STATION, NY 11746-2762
(631) 897-4025
Mailing address
37 E ROGUES PATH, HUNTINGTON STATION, NY 11746-2762
(631) 897-4025
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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