Individual
SUZETTE MANIGAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
112 MILBURN AVE, HEMPSTEAD, NY 11550-7130
(347) 302-1433
Mailing address
112 MILBURN AVE, HEMPSTEAD, NY 11550-7130
(347) 302-1433
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
649370
NY
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
649370
NY
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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