Individual
DEVORAH MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 WYCKOFF PL, WOODMERE, NY 11598-2131
(347) 633-7925
Mailing address
115 WYCKOFF PL, WOODMERE, NY 11598-2131
(347) 633-7925
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
032297
NY
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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