Individual
NICOLE MANZARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
88 E MAIN ST, PORT JERVIS, NY 12771-2109
(845) 858-2874
Mailing address
32A OSSEO PARK RD, MONROE, NY 10950-4772
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
1402503
NY
171M00000X
Case Manager/Care Coordinator
—
NY
Other
Enumeration date
05/27/2013
Last updated
01/30/2018
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