Manifesting Dreams INC

NPI #1043573413 in Freeport, New York

Provider Information

NPI Number: 1043573413
Entity Type: Organization
Organization Name: Manifesting Dreams INC
Primary Specialty: Specialist
Enumeration Date: Jun 20, 2012
Last Updated: Jun 20, 2012

Practice Location

Address: 335 PINE ST
City: Freeport
State: New York
ZIP Code: 11520-3141
Phone: (516) 632-5562

Authorized Official

Name: NANCIANNE GENDUSO, MS EDDHH
Title: PRESIDENT
Phone: (516) 632-5562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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