Individual provider · NPI-1

Linda Mamone

Pathology, Blood Banking & Transfusion Medicine · Stony Brook, NY

NPI number1669880233
StatusActive
Last updated in NPPESJul 1, 2022

Details

NPI
1669880233
Entity type
Individual (NPI-1)
Name
Linda Mamone
Sex
Female
Sole proprietor
No
Enumeration date
Jul 28, 2014
Certification date
Jul 1, 2022
Last updated
Jul 1, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZB0001X Pathology, Blood Banking & Transfusion Medicine301166NYYes
207ZB0001X Pathology, Blood Banking & Transfusion Medicine35.132843OH
207ZP0102X Pathology, Anatomic Pathology & Clinical PathologyMT207448PA

Practice location

101 Nicolls Rd Rm 710
Stony Brook, NY 11794-0001

Phone 631-233-9429

Mailing address

Po Box 1559
Stony Brook, NY 11790-0989

Other practice locations

3501 N Broad St
Philadelphia, PA 19140-4147

Phone 267-838-3915

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