Active NPIIndividual providerSole proprietor

Liza Mammato

Licensed Practical Nurse in Tuxedo Park, New York

NPI Number1083373286
Practice location
20 S Side Pl, Tuxedo Park, NY 10987-4475
Fax
—
Last updated
December 15, 2021

Liza Mammato is a Licensed Practical Nurse based in Tuxedo Park, NY. Liza Mammato practices in Tuxedo Park, NY. The NPI Number for Liza Mammato is 1083373286 and holds a License No. 343141 (NY). The current practice location address for Liza Mammato is 20 S Side Pl, Tuxedo Park, NY 10987-4475 and can be reached out via phone at 845-519-9459.

Provider Profile Details

NPI Number
1083373286
Provider Name
Liza Mammato
Provider Entity Type
Individual
Gender
Female
Address
20 S Side Pl, Tuxedo Park, NY 10987-4475
Phone Number
845-519-9459
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 15, 2021
Last Update Date
December 15, 2021
Certification Date
December 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 S Side Pl
Tuxedo Park, NY 10987-4475
Zip
10987-4475
Phone Number
845-519-9459
Tuxedo Park, NY 10987Get directions →

Provider Business Mailing Address Details

Address
20 S Side Pl
Tuxedo Park, NY 10987-4475
City
Tuxedo Park
State
NY
Zip
10987-4475

License Information

License Number
343141
License State
NY
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Liza Mammato?

The NPI number of Liza Mammato is 1083373286. It was assigned on December 15, 2021 and is currently active in the NPPES registry.

What is the specialty of Liza Mammato?

Liza Mammato is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 343141.

Where does Liza Mammato practice?

The practice location is 20 S Side Pl, Tuxedo Park, NY 10987-4475. The office can be reached at 845-519-9459 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083373286 directly on the NPPES registry website.

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