Individual
COLLEEN MARIE MANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 E 68TH ST RM M-130, NEW YORK, NY 10065-4870
(203) 313-6508
Mailing address
300 KEELER DR, RIDGEFIELD, CT 06877-1027
(203) 313-6508
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
024994
NY
363A00000X
Physician Assistant
Primary
024994
NY
Other
Enumeration date
06/22/2020
Last updated
09/06/2022
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