Individual
DR. MANNUCCIO MANNUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
247 THIRD AVE, NEW YORK, NY 10010
(212) 954-9459
(212) 427-3064
Mailing address
247 THIRD AVE, NEW YORK, NY 10010
(212) 954-9459
(212) 427-3064
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
078834
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110307
—
NY
01
—
209212
WCB
NY
Enumeration date
04/25/2007
Last updated
07/08/2007
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