Miller Mantell, Jessica Sara

Miller Mantell, Jessica Sara is an sole proprietor health care provider with primary practice located at 101 Nicolls Rd , Stony Brook NY 11794-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Miller Mantell, Jessica Sara can be contacted via phone (631) 444-5437.

Contact Information

Primary practice address
101 Nicolls Rd Stony Brook NY 11794-0001
Phone: (631) 444-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 293180 New York
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 293180 New York

Profile Details

NPI number 1689051401
LBN Legal business name Miller Mantell, Jessica Sara
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2015
Last updated Nov 3rd, 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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