MEDICARE: DR. GERALDINE ANN MCMANUS D.D.S.

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	1223G0001X	General Practice Dentistry	038081	NY

General Provider Information

NPI Number	:	1730223165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERALDINE ANN MCMANUS D.D.S.

Provider Business Mailing Address
First Line	:	114 WENTZ AVE
Second Line	:
City	:	SPRINGFIELD
State	:	NJ
Zip	:	07081-3426
Country	:	US
Telephone Number	:	973-376-9597
Fax Number	:

Provider Business Practice Location Address
First Line	:	2807 KINGS HWY APT 6E
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1865
Country	:	US
Telephone Number	:	917-596-1928
Fax Number	:

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

Provider Enumeration Date	:	02/18/2007
Last Update Date	:	12/29/2024

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