| Doctor Name: | WILLIAM EMILIO MANNINO |
| NPI Number: | 1609273481 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-BC |
| License Number: | 339326 |
| Business Practice Address: | 199 Main St Keansburg, NJ - 077341768 |
| Business Phone Number: | 7327873456 |
| Business Fax Number: | |
| Mailing Address: | 12 Monterey Ln, MANALAPAN |
| State: | NJ |
| Postal Code: | 077264518 |
| Phone Number: | 9179915601 |
| Fax Number: | |
| NPI Enumeration Date: | 11/22/2014 |
| NPI Last Update Date: | 09/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 339326 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |