Organization Name: | MANSKY PLLC |
NPI Number: | 1609185172 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETER A MANSKY (MANAGING MEMBER) |
Mailing Address: | 9811 W Charleston Blvd Ste 2-735 Las Vegas |
State: | NV US |
Postal Code: | 891177528 |
Phone Number: | 7022576727 |
Fax Number: | 8773247915 |
NPI Enumeration Date: | 10/01/2010 |
NPI Last Update Date: | 10/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |