Carson, John Manning

Carson, John Manning is an individual health care provider with primary practice located at 200 Old Country Rd Ste 135 , Mineola NY 11501-4237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Carson, John Manning can be contacted via phone (516) 663-2169.

Contact Information

Primary practice address
200 Old Country Rd Ste 135 Mineola NY 11501-4237
Phone: (516) 663-2169
Fax: (516) 663-2179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 291345 New York

Profile Details

NPI number 1578724787
LBN Legal business name Carson, John Manning
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Mar 2nd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578724787 NPPES
Colorado Other 023865 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 80284272 KAISER COMMERCIAL NUMBER

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