NICOLE MANZARE (NPI# 1740627140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
88 E MAIN ST |
City | PORT JERVIS |
State | NY |
Zip Code | 12771-2109 |
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 Code | 101YS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | School |
Definition to come... |
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1427659291 | Massiel Vasquez | Counselor | 590 Avenue of The Americas Fl 12, New York, NY 10011-2022 | 2020-11-06 |
1396342002 | Buffalo Guidance Group | Counselor | 475 Ellicott St Ste 105, Buffalo, NY 14203-1531 | 2020-10-06 |
1912514902 | Valerie Anne Conley | Counselor | 475 Elllicott St., Buffalo, NY 14203 | 2020-09-24 |
1528674884 | Bella Avulova | Counselor | 7329 173rd St, Fresh Meadows, NY 11366-1429 | 2020-09-21 |
1114545191 | Nicole Byrne-navarro | Counselor | 128 Park Row Ste 1000, Cadyville, NY 12918-2817 | 2020-07-07 |
1558993543 | Kalya Castillo | Counselor | 69 Maple St Apt 1, Dobbs Ferry, NY 10522-4114 | 2020-02-07 |
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 |
1881242469 | Vanessa Ramirez | Counselor | 250 W Merrick Rd Apt 1b, Freeport, NY 11520-3311 | 2019-08-28 |
1578110938 | Ariana Schiano | Counselor | 89 Ontario Ave, Massapequa, NY 11758-3934 | 2019-08-21 |
Find all providers with the same taxonomy |
City | PORT JERVIS |
Zip Code | 12771 |
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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.