Individual provider · Type 1 NPI
Patricia K. Manna
Adult Health Nurse Practitioner · Stony Brook, NY
NPI number
1497375620
Active
Practice location
101 Nicolls Rd
Stony Brook, NY 11794-0001
Mailing address
PO Box 1559
Stony Brook, NY 11790-0989
Other practice locations
- 25 Pine Pl, Lindenhurst, NY 11757-6320 · (516) 508-1368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 309272 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 309272 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1497375620
Patricia K. Manna's National Provider Identifier is 1497375620, issued on Apr 17, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stony Brook, NY. The record was last updated on Feb 6, 2021.