Shannen Marie Sandal Manlucu, is a
Student In An Organized Health Care Education/training Program based in Brooklyn, New York. Shannen Marie Sandal Manlucu is licensed to practice in * (Not Available) (license number ) and her current practice location is
2348 Ralph Ave, Brooklyn, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 531-0300.
NPI number for Shannen Marie Sandal Manlucu is 1942839725 and her current mailing address is 150 55th St, Brooklyn, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942839725.
Healthcare Provider's Profile
| Full Name | Shannen Marie Sandal Manlucu |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2348 Ralph Ave, Brooklyn, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942839725
- Provider Enumeration Date: 04/03/2020
- Last Update Date: 08/24/2021
Medical Identifiers
Medical identifiers for Shannen Marie Sandal Manlucu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942839725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 061795 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannen Marie Sandal Manlucu is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shannen Marie Sandal Manlucu,
150 55th St,
Brooklyn, NY 11220-2508
Ph: () - | Shannen Marie Sandal Manlucu,
2348 Ralph Ave,
Brooklyn, NY 11234-5515
Ph: (718) 531-0300 |
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