Individual
JESSICA MANTZOURANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
229 SOUTH ST STE 2, OYSTER BAY, NY 11771-2999
(516) 922-3131
(516) 922-5218
Mailing address
229 SOUTH ST STE 2, OYSTER BAY, NY 11771-2999
(516) 922-3131
(516) 922-5218
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
239930-1
NY
Other
Enumeration date
01/09/2007
Last updated
08/31/2021
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