Individual
MARIA MANNELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
296 NASSAU AVE APT 1R, BROOKLYN, NY 11222-3728
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F310530
NY
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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