Individual
LUKE MANECIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-4000
Mailing address
270 MOHAWK DR, TRIBES HILL, NY 12177-5527
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
645870
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
645870
NY
Other
Enumeration date
11/06/2020
Last updated
11/20/2024
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