Doctor Name: | JAYME D MANCINI |
NPI Number: | 1316108319 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O., PH.D |
License Number: | 254293 |
Business Practice Address: | Northern Blvd Nyit Academic Health Care Center Old Westbury, NY - 115688000 |
Business Phone Number: | 5166863700 |
Business Fax Number: | |
Mailing Address: | 64 N Woodhull Rd, Unit 3, HUNTINGTON |
State: | NY |
Postal Code: | 11743 |
Phone Number: | 6316975975 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2008 |
NPI Last Update Date: | 07/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 254293 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |