Individual provider · Type 1 NPI

Shannen Marie Sandal Manlucu

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1942839725 Active

Practice location

2348 Ralph Ave
Brooklyn, NY 11234-5515

Call (718) 531-0300 Map

Mailing address

150 55th St
Brooklyn, NY 11220-2508

Other practice locations

  • 150 55th St, Brooklyn, NY 11220-2508 · (718) 630-7000

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X061795 (NY)
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 1942839725

Shannen Marie Sandal Manlucu's National Provider Identifier is 1942839725, issued on Apr 3, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 24, 2021.