Individual
MRS. CLARA INES MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIAL EDUCATION
Contact information
Practice address
3636 33RD ST STE 500, LONG ISLAND CITY, NY 11106-2329
(212) 529-9780
(212) 529-9866
Mailing address
10220 67TH DR APT 204, FOREST HILLS, NY 11375-2809
(917) 396-0331
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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