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Victoria Mannino

Technician in Staten Island, NY. Individual provider (NPI-1).

NPI number1053048314
StatusActive
Last updated in NPPESAug 5, 2022

Details

NPI
1053048314
Entity type
Individual (NPI-1)
Name
Victoria Mannino
Sex
Female
Sole proprietor
No
Enumeration date
Aug 5, 2022
Certification date
Aug 5, 2022
Last updated
Aug 5, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374700000X Technician––Yes

Practice location

669 Castleton Ave
Staten Island, NY 10301-2028

Phone 718-720-2245

Mailing address

669 Castleton Ave
Staten Island, NY 10301-2028

Phone 718-720-2245

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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