Individual
FAIRY LAINE ESPINA MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 EXETER AVE, LYNBROOK, NY 11563-3710
(347) 351-2454
Mailing address
600 E 125TH ST, NEW YORK, NY 10035-6000
(646) 766-4000
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
730040
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406726
NY
Other
Enumeration date
06/09/2020
Last updated
04/13/2025
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