Dr. Deepa Manivannan, PharmD
Pharmacist in Manhasset, NY. Individual provider (NPI-1).
NPI number1164044400
StatusActive
Last updated in NPPESJun 24, 2020
Details
- NPI
- 1164044400
- Entity type
- Individual (NPI-1)
- Name
- Dr. Deepa Manivannan
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2020
- Certification date
- Jun 24, 2020
- Last updated
- Jun 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 062302 | NY | Yes |
Practice location
300 Community DrManhasset, NY 11030-3816
Phone 516-562-0100
Mailing address
18 Foster LnWestbury, NY 11590-6504
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