Individual
DR. ALYSSA JOAN MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 NICOLLS RD, HSC 16-047, STONY BROOK, NY 11794
(631) 444-0580
Mailing address
101 NICOLLS RD, HSC 16-047, STONY BROOK, NY 11794
(631) 444-0580
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
286411
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
321878
NY
208M00000X
Hospitalist Physician
286411
MA
390200000X
Student in an Organized Health Care Education/Training Program
276092
MA
Other
Enumeration date
06/17/2018
Last updated
06/30/2025
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