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NPI Code Detail

MEDICARE: DR. JOSEPH MANCINI M.D.

MEDICARE: DR. JOSEPH MANCINI M.D.
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
1207L00000XAnesthesiology Physician191627NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1050066482OTHERNYRAILROAD MEDICARE
3CN4350OTHERNYRAILROAD MEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831195775
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH MANCINI M.D.
Provider Business Mailing Address
First Line : 68 S SERVICE RD
Second Line : SUITE 350
City : MELVILLE
State : NY
Zip : 11747-2354
Country : US
Telephone Number : 516-945-3000
Fax Number :
Provider Business Practice Location Address
First Line : 270 PARK AVE
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-2787
Country : US
Telephone Number : 631-351-2785
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 11/05/2009

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