Individual
NYA MERCEDES MANESIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
22 RIDGE RD, SMITHTOWN, NY 11787-2506
(631) 374-8828
Mailing address
22 RIDGE RD, SMITHTOWN, NY 11787-2506
(631) 374-8828
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
NY
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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