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NPI Code Detail

MEDICARE: KATE MANNION

MEDICARE: KATE MANNION
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
1363LF0000XFamily Nurse PractitionerF341558-1NY

General Provider Information

NPI Number : 1073966826
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATE MANNION
Provider Business Mailing Address
First Line : 726 BROADWAY
Second Line :
City : NEW YORK
State : NY
Zip : 10003-9580
Country : US
Telephone Number : 212-443-1000
Fax Number :
Provider Business Practice Location Address
First Line : 2381 FREDERICK DOUGLASS BLVD
Second Line :
City : NEW YORK
State : NY
Zip : 10027-1822
Country : US
Telephone Number : 212-866-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2016
Last Update Date : 03/15/2021

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Directions to “ KATE MANNION ” Practice Location

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