Tyler Mannino, PA

NPI #1487060158 in Hewlett, New York

Provider Information

NPI Number
1487060158
Entity Type
Individual
Name
Tyler Mannino, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Jul 2, 2014
Last Updated
Jul 2, 2014

Practice Location

Address
1512 BROADWAY
ZIP Code
11557-1429
Phone
(516) 374-6838

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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