Individual
NICOLE LAMANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(646) 317-5077
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(646) 317-5077
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
211860
NY
207RX0202X
Medical Oncology Physician
Primary
211860
NY
Other
Enumeration date
01/29/2006
Last updated
11/22/2017
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