Manganello, Pamela Mary

Manganello, Pamela Mary is an individual health care provider with primary practice located at 15 Rosalie Pl , Patchogue NY 11772-2977. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Manganello, Pamela Mary can be contacted via phone (303) 523-2727.

Contact Information

Primary practice address
15 Rosalie Pl Patchogue NY 11772-2977
Phone: (303) 523-2727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 10650 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 020598-1 New York

Profile Details

NPI number 1588890602
LBN Legal business name Manganello, Pamela Mary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2009
Last updated Dec 6th, 2016 - about 8 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 1588890602 NPPES
New York Other 020598-1 LICENSE
New York Other 10650 LICENSE

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