Individual
ANN MARIE MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25321 CRAFT AVE, ROSEDALE, NY 11422-2728
(772) 708-0924
Mailing address
25321 CRAFT AVE, ROSEDALE, NY 11422-2728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
380688
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380688
—
NY
Enumeration date
03/05/2020
Last updated
03/05/2020
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