Individual
JOSEPH A MANNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 BRENTWOOD DR, ITHACA, NY 14850-1863
(607) 272-7000
(607) 272-4694
Mailing address
16 BRENTWOOD DR, ITHACA, NY 14850-1863
(607) 272-7000
(607) 272-4694
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
217114
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02137319
—
NY
Enumeration date
03/17/2006
Last updated
03/24/2015
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