Individual provider · Type 1 NPI
Fairy Laine Espina Manzano
Psychiatric/Mental Health Nurse Practitioner · Lynbrook, NY
NPI number
1417572173
Active
Practice location
20 Exeter Ave
Lynbrook, NY 11563-3710
Mailing address
600 E 125th St
New York, NY 10035-6000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 730040 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 406726 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Lynbrook
About NPI 1417572173
Fairy Laine Espina Manzano's National Provider Identifier is 1417572173, issued on Jun 9, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lynbrook, NY. The record was last updated on Apr 13, 2025.