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MARK MANANSALA
Nurse Practitioner
NPI: 1437643566IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
343488(NY)
Registered Nurse
Registered Nurse
Code: 163W00000X
575973(NY)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2018
Contact & Hours
- Address
- 301 PROSPECT AVE
SYRACUSE, NY 13203 - Phone
- (315) 448-5111
Quick Facts
- NPI
- 1437643566
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 8
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