Individual
NEEL MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 BROADWAY, AMITYVILLE, NY 11701-2719
(631) 789-2020
(631) 789-5669
Mailing address
1500 ROUTE 112 BLDG 4, SUITE101, PORT JEFFERSON STATION, NY 11776
(631) 751-3000
(631) 509-6559
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
241885
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000129615
GHI HMO
NY
01
—
0378572
GHI PPO
NY
Enumeration date
05/01/2006
Last updated
08/06/2019
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