Organization
JULIE MANIS PSYCHIATRIC NP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MANIS NP (OWNER)
(516) 331-1370
Entity
Organization
Contact information
Practice address
4250 SUNRISE HWY, SUITE 103, MASSAPEQUA, NY 11758-5338
(516) 331-1370
Mailing address
2539 PHILLIP CT, BELLMORE, NY 11710-4931
(516) 331-1370
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
401230
NY
Other
Enumeration date
10/10/2015
Last updated
10/10/2015
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