NICOLE MANZARE


Address: 88 E Main St, Port Jervis, NY 12771-2109
Phone: 8458582874

NICOLE MANZARE (NPI# 1740627140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740627140
Entity Type Individual
Full Name NICOLE MANZARE
Practice Address 88 E Main St
Port Jervis
NY 12771-2109
Mailing Address 32a Osseo Park Rd
Monroe
NY 10950-4772
Practice Telephone 8458582874
Enumeration Date 2013-05-27
Last Update Date 2018-01-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YS0200X Counselor
Specialization: School
1402503 NY Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator NY Other Service Providers

Office Location

Street Address 88 E MAIN ST
City PORT JERVIS
State NY
Zip Code 12771-2109

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164045571 Mary Ann Ricci Counselor 155 West Main, Port Jervis, NY 12771 2020-05-20
1982236022 Jylian Ann Jackson Social Worker 146 Pike Street Outpatient Clinic, Port Jervis, NY 12771 2020-02-06
1336605591 Dominic James Costantino Physical Therapist 17 Franklin Street, Port Jervis, NY 12771 2019-02-13
1871011775 Pamela Ann Gluck Counselor 17 Sussex Street, Port Jervis, NY 12771 2017-08-31
1891211868 Jamie Muller Home Health Aide 12 Mt William St, Port Jervis, NY 12771 2017-08-21
1922456649 Greenville Township Volunteer Ambulance Corps Inc Ambulance 1495 Greenville Turnpike, Port Jervis, NY 12771 2016-06-03
1659702363 Agnes Timberger Social Worker 626 Eatontown Road, Port Jervis, NY 12771 2013-12-05
1962795708 Olga I Murray Registered Nurse 125 E. Main St., Port Jervis, NY 12771 2011-05-26
1407089444 Daniel David Gersten Counselor 17-19 Sussex Street, Port Jervis, NY 12771 2009-08-25
1447404736 Ann Marie Brown Counselor 136 Jersey Avenue, Suite 1, Port Jervis, NY 12771 2008-11-13
Find all providers in zip 12771

Taxonomy Information

Taxonomy Code 101YS0200X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization School

Taxonomy Definition

Definition to come...

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1730710112 Devika Llolanda Vigilance Counselor 1228 E 84th St Fl 1, Brooklyn, NY 11236-4912 2020-02-04
1821647652 Andrew Brook Counselor 108 Hollyhock Rd, Levittown, NY 11756-2423 2019-09-04
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Competitor

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City PORT JERVIS
Zip Code 12771

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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