| Doctor Name: | VICTORIA MARIA MANNARINO |
| NPI Number: | 1063621548 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ADULT NP-C |
| License Number: | F302330-1 |
| Business Practice Address: | 540 Fulton Ave Hempstead, NY - 11550 |
| Business Phone Number: | 5167502613 |
| Business Fax Number: | 5164833592 |
| Mailing Address: | 66 Knollwood Drive, CARLE PLACE |
| State: | NY |
| Postal Code: | 11514 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 03/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | F302330-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |