Individual
JAMES MANNIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 NORTHERN BLVD STE 200, GREAT NECK, NY 11021-5208
(516) 723-2663
Mailing address
240 N SYRACUSE AVE, MASSAPEQUA, NY 11758-2024
(516) 474-4709
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
021269
NY
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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