Individual
DR. MICHAEL MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1012 WESTWOOD RD, WOODMERE, NY 11598-1125
(516) 374-9050
Mailing address
1012 WESTWOOD RD, WOODMERE, NY 11598-1125
(516) 374-9050
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
185035
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185035
STATE LICENSE
NY
Enumeration date
01/11/2006
Last updated
09/17/2021
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