Individual provider · Type 1 NPI

Nicholas Anthony Manoussos, DDS

Student in an Organized Health Care Education/Training Program · Montclair, NJ

NPI number 1417654849 Active

Practice location

1 Bay Ave
Montclair, NJ 07042-4837

Call (973) 429-6888 Map

Mailing address

11 Soundbay Dr
Lloyd Harbor, NY 11743

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417654849

Nicholas Anthony Manoussos, DDS's National Provider Identifier is 1417654849, issued on Feb 15, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Montclair, NJ. The record was last updated on Feb 15, 2023.