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James Mantas
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1689250078

James Mantas is a Student in an Organized Health Care Education/Training Program based in Ridgewood, NY. James Mantas practices in Stony Brook, NY. The NPI Number for James Mantas is 1689250078 and holds a License No. (New York).

The current practice location address for James Mantas is 101 Nicolls Road, Stony Brook, NY and can be reached out via phone at 631-444-3880 and via fax at 631-444-3919.

Location: 101 Nicolls Road, Stony Brook, NY, 11385-3469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689250078
Provider Name
James Mantas
Credential
Provider Entity Type
Individual
Gender
Male
Address
101 Nicolls Road, Stony Brook, NY, 11385-3469
Phone Number
631-444-3880
Fax Number
631-444-3919
Provider Enumeration Date
03/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Road
City
Stony Brook
State
New York
Zip
11794
Phone Number
631-444-3880
Fax Number
631-444-3919
person
Provider Business Mailing Address Details
Address
101 Nicolls Road
City
Stony Brook
State
New York
Zip
11794
Phone Number
631-444-3880
Fax Number
631-444-3919
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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