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Individual

DEVORA MANNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1049 E 12TH ST, BROOKLYN, NY 11230-4111
(718) 344-8914
Mailing address
1049 E 12TH ST, BROOKLYN, NY 11230-4111
(718) 344-8914

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F341208
NY
367A00000X
Advanced Practice Midwife
Primary
002346
NY

Other

Enumeration date
01/23/2017
Last updated
11/06/2024
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