MEDICARE: MICHELLE MAMANN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	702839131	NY

General Provider Information

NPI Number	:	1336487651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE MAMANN

Provider Business Mailing Address
First Line	:	10217 64TH RD APT 5B
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-1560
Country	:	US
Telephone Number	:	646-226-1808
Fax Number	:

Provider Business Practice Location Address
First Line	:	10217 64TH RD APT 5B
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-1560
Country	:	US
Telephone Number	:	646-226-1808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2013
Last Update Date	:	01/29/2013

Similar Medicare Providers

1750789145 — ALDEN BRIDGE DENTAL, P.C.
Practice Location Address:

8000 RESEARCH FOREST DR STE 350
THE WOODLANDS, TX
77382-1560

Practice Phone: 770-916-5031
Practice Fax:

1770385122 — EMBRACE PROGRESSIVE THERAPY INC
Practice Location Address:

29219 CANWOOD ST UNIT 107
AGOURA HILLS, CA
91301-1560

Practice Phone: 818-914-7555
Practice Fax:

1063535003 — DR. GERALDINE ANN DIFRANCO D.D.S.
Practice Location Address:

10059 S ROBERTS RD
PALOS HILLS, IL
60465-1560

Practice Phone: 708-430-1133
Practice Fax: 708-430-5979

1972876365 — AUSRA JANUSEVICIUTE L.AC.
Practice Location Address:

10059 S ROBERTS RD
PALOS HILLS, IL
60465-1560

Practice Phone: 708-598-9144
Practice Fax:

1285986570 — DIFRANCO PERIODONTICS
Practice Location Address:

10059 S ROBERTS RD
PALOS HILLS, IL
60465-1560

Practice Phone: 708-430-1133
Practice Fax: 708-430-5979

1316288137 — KELLY FURMANEK DIPL. OM
Practice Location Address:

10059 S ROBERTS RD
PALOS HILLS, IL
60465-1560

Practice Phone: 708-598-9144
Practice Fax:

Directions to “ MICHELLE MAMANN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.