Individual
MARK JESUITAS MANANSALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203
(315) 448-5111
Mailing address
7770 TIRRELL HILL CIR, LIVERPOOL, NY 13090-2508
(315) 427-9414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
575973
NY
363L00000X
Nurse Practitioner
Primary
343488
NY
Other
Enumeration date
06/21/2018
Last updated
08/21/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us