Active NPIIndividual providerSole proprietor

Kimberly Manzo

Specialist in Staten Island, New York

NPI Number1669919940
Practice location
35 Poplar Ave, Staten Island, NY 10309-1614
Fax
—
Last updated
January 25, 2017

Kimberly Manzo is a Specialist based in Staten Island, NY. Kimberly Manzo practices in Staten Island, NY. The NPI Number for Kimberly Manzo is 1669919940 and holds a License No. 888943 (NY). The current practice location address for Kimberly Manzo is 35 Poplar Ave, Staten Island, NY 10309-1614 and can be reached out via phone at 917-559-9225.

Provider Profile Details

NPI Number
1669919940
Provider Name
Kimberly Manzo
Provider Entity Type
Individual
Gender
Female
Address
35 Poplar Ave, Staten Island, NY 10309-1614
Phone Number
917-559-9225
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
January 25, 2017
Last Update Date
January 25, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Poplar Ave
Staten Island, NY 10309-1614
Zip
10309-1614
Phone Number
917-559-9225
Staten Island, NY 10309Get directions →

Provider Business Mailing Address Details

Address
35 Poplar Ave
Staten Island, NY 10309-1614
City
Staten Island
State
NY
Zip
10309-1614
Phone Number
917-559-9225

License Information

License Number
888943
License State
NY
Taxonomy
Specialist · 174400000X · 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 Kimberly Manzo?

The NPI number of Kimberly Manzo is 1669919940. It was assigned on January 25, 2017 and is currently active in the NPPES registry.

What is the specialty of Kimberly Manzo?

Kimberly Manzo is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 888943.

Where does Kimberly Manzo practice?

The practice location is 35 Poplar Ave, Staten Island, NY 10309-1614. The office can be reached at 917-559-9225 (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 1669919940 directly on the NPPES registry website.

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