Individual provider · Type 1 NPI

Kelly Mantia, NP

Family Nurse Practitioner · Cedarhurst, NY

NPI number 1679258222 Active

Practice location

650 Central Ave
Cedarhurst, NY 11516-2301

Mailing address

133 Ocean Ave
Massapequa Park, NY 11762-2323

Other practice locations

  • 133 Ocean Ave, Massapequa Park, NY 11762-2323 · (718) 812-4774

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X352247 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1679258222

Kelly Mantia, NP's National Provider Identifier is 1679258222, issued on Jun 21, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cedarhurst, NY. The record was last updated on Aug 16, 2023.