Individual
MICHAEL M MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 NORTHERN BLVD, MANHASSET, NY 11030-3033
(516) 627-9355
(516) 869-0763
Mailing address
1155 NORTHERN BLVD, MANHASSET, NY 11030-3040
(516) 407-4000
(516) 869-0763
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
182581
NY
Other
Enumeration date
06/23/2005
Last updated
02/11/2019
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