Individual
BETTINA MANDUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3722 82ND ST, 2ND FLOOR, JACKSON HEIGHTS, NY 11372-7032
(347) 756-0997
Mailing address
3722 82ND ST, 2ND FLOOR, JACKSON HEIGHTS, NY 11372-7032
(347) 756-0997
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
285737
NY
Other
Enumeration date
06/16/2014
Last updated
04/20/2017
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