Individual
BARTHOLOMEW LOUIS MANNINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7407 18TH AVE, BROOKLYN, NY 11204-5614
(718) 331-5330
(718) 331-3779
Mailing address
7407 18TH AVE, BROOKLYN, NY 11204-5614
(718) 331-5330
(718) 331-3779
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33430-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01051298
—
NY
Enumeration date
02/02/2010
Last updated
02/03/2010
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