Emmanuel Lincius Lincifort, NP
Nurse Practitioner in Manhasset, NY. Individual provider (NPI-1).
NPI number1164083887
StatusActive
Last updated in NPPESJun 24, 2019
Details
- NPI
- 1164083887
- Entity type
- Individual (NPI-1)
- Name
- Emmanuel Lincius Lincifort
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2019
- Last updated
- Jun 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 665967-1 | NY | Yes |
Practice location
315 E Shore RdManhasset, NY 11030-2923
Phone 516-487-5577 · Fax 516-303-1260
Mailing address
315 E Shore RdManhasset, NY 11030-2923
Phone 516-487-5577 · Fax 516-303-1260
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