Individual
KAYLA MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 1ST ST, GLENWOOD LANDING, NY 11547-3001
(516) 532-4474
Mailing address
10 1ST ST, GLENWOOD LANDING, NY 11547-3001
(516) 532-4474
Taxonomy
Speciality
Code
Description
License number
State
2279E1000X
Educational Registered Respiratory Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NGE981844375
—
NY
Enumeration date
01/06/2022
Last updated
01/06/2022
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