Individual
ANTONIO N/A MANOCCHIO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
12422 COPPERFIELD DR, HOUSTON, TX 77031-3110
(281) 796-6879
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
144772
TX
367500000X
Certified Registered Nurse Anesthetist
845732
NY
Other
Enumeration date
04/06/2020
Last updated
02/19/2024
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