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FAIRY LAINE MANZANO
Psychiatric/Mental Health Nurse Practitioner
NPI: 1417572173IndividualAccepts Medicare
Specialties, Licenses & Credentials
Psychiatric/Mental Health Registered Nurse
Registered Nurse — Psychiatric/Mental Health
Code: 163WP0808X
730040(NY)
Psychiatric/Mental Health Nurse PractitionerPrimary
Nurse Practitioner — Psychiatric/Mental Health
Code: 363LP0808X
406726(NY)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2025
Contact & Hours
- Address
- 20 EXETER AVE
LYNBROOK, NY 11563 - Phone
- (347) 351-2454
Quick Facts
- NPI
- 1417572173
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 1
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