| Julie Manis Psychiatric Np Pllc | |
|
4250 Sunrise Hwy Suite 103 Massapequa NY 11758-5338 | |
| (516) 331-1370 | |
| Not Available |
| Full Name | Julie Manis Psychiatric Np Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4250 Sunrise Hwy, Massapequa, New York |
| Authorized Official Name and Position | Julie Manis (OWNER) |
| Authorized Official Contact | 5163311370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Manis Psychiatric Np Pllc 2539 Phillip Ct Bellmore NY 11710-4931 Ph: (516) 331-1370 | Julie Manis Psychiatric Np Pllc 4250 Sunrise Hwy Suite 103 Massapequa NY 11758-5338 Ph: (516) 331-1370 |
| NPI Number | 1962873463 |
|---|---|
| Provider Enumeration Date | 10/10/2015 |
| Last Update Date | 10/10/2015 |
| Medicare PECOS PAC ID | 1052662533 |
|---|---|
| Medicare Enrollment ID | O20180921002126 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962873463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 401230 (New York) | Primary |
| Provider Name | Julie Manis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164672564 PECOS PAC ID: 2264721745 Enrollment ID: I20180924002127 |
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