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Marietta Anzia Manlulu
Family Nurse Practitioner in East Meadow, New York
NPI 1053833574

Marietta Anzia Manlulu is a Family Nurse Practitioner based in East Meadow, NY and is specialized in Family. Marietta Anzia Manlulu practices in East Meadow, NY. The NPI Number for Marietta Anzia Manlulu is 1053833574 and holds a License No. F335129-1 (New York).

The current practice location address for Marietta Anzia Manlulu is 2201 Hempstead Tpke Dept Of, East Meadow, NY and can be reached out via phone at 516-572-8831 and via fax at 516-572-9486.

Location: 2201 Hempstead Tpke Dept Of, East Meadow, NY, 11554-1859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053833574
Provider Name
Marietta Anzia Manlulu
Credential
Provider Entity Type
Individual
Gender
Female
Address
2201 Hempstead Tpke Dept Of, East Meadow, NY, 11554-1859
Phone Number
516-572-8831
Fax Number
516-572-9486
Provider Enumeration Date
07/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2201 Hempstead Tpke Dept Of
City
East Meadow
State
New York
Zip
11554-1859
Phone Number
516-572-8831
Fax Number
516-572-9486
person
Provider Business Mailing Address Details
Address
2201 Hempstead Tpke Dept Of
City
East Meadow
State
New York
Zip
11554-1859
Phone Number
516-572-8831
Fax Number
516-572-9486
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F335129-1 (New York)
Definition
Definition to come...
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