Healthcare Provider Details

I. General information

NPI: 1114886595
Provider Name (Legal Business Name): FRANCIS MANEJA NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 OLD COUNTRY RD STE 103N
WESTBURY NY
11590-5119
US

IV. Provider business mailing address

1400 OLD COUNTRY RD STE 103N
WESTBURY NY
11590-5119
US

V. Phone/Fax

Practice location:
  • Phone: 917-349-3874
  • Fax:
Mailing address:
  • Phone: 516-968-3699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number407984
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: