Individual
CANDACE MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 BLUE POINT AVE, BLUE POINT, NY 11715-1224
(631) 690-5155
Mailing address
16 TREE TOP PATH, NESCONSET, NY 11767-2825
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
951326
NY
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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