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Individual

DR. JAMES MANISCALCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(929) 284-0686
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
025586
NY
103TC0700X
Clinical Psychologist
Primary
025586
NY

Other

Enumeration date
03/27/2023
Last updated
07/23/2023
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