Individual provider · Type 1 NPI

Jessica Sara Miller Mantell, D.O

Pediatric Emergency Medicine (Pediatrics) Physician · Stony Brook, NY

NPI number 1689051401 Active

Practice location

101 Nicolls Rd
Stony Brook, NY 11794-0001

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X293180 (NY)
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X293180 (NY)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1689051401

Jessica Sara Miller Mantell, D.O's National Provider Identifier is 1689051401, issued on Apr 30, 2015. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Stony Brook, NY. The record was last updated on Nov 3, 2021.