MRS. Kathleen Mary Manzolillo
NPI #1801157995 in Brightwaters, New York
Provider Information
- NPI Number
- 1801157995
- Entity Type
- Individual
- Name
- MRS. Kathleen Mary Manzolillo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 5, 2012
- Last Updated
- Jun 5, 2012
Practice Location
- Address
- 476 LOMBARDY BLVD
- City
- Brightwaters
- State
- New York
- ZIP Code
- 11718-1008
- Phone
- (631) 431-3629
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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