Stella Marie Maniquis, NP
Nurse Practitioner, Pediatrics in New York, NY. Individual provider (NPI-1).
NPI number1043754591
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1043754591
- Entity type
- Individual (NPI-1)
- Name
- Stella Marie Maniquis
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2016
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 382716 | NY | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | RN216457 | GA |
Practice location
180 Fort Washington Ave Fl 5New York, NY 10032-3722
Phone 212-342-3858
Mailing address
180 Fort Washington Ave Fl 5New York, NY 10032-3722
Phone 212-342-3858
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