Organization
NICHOLAS MANOS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS MANOS DDS (PRESIDENT)
(516) 795-4141
Entity
Organization
Contact information
Practice address
535 BROADWAY, MASSAPEQUA, NY 11758-5006
(516) 795-4141
(516) 795-6589
Mailing address
535 BROADWAY, MASSAPEQUA, NY 11758-5006
(516) 795-4141
(516) 795-6589
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
37862
NY
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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