Manzare, Nicole

Manzare, Nicole is an sole proprietor health care provider with primary practice located at 88 E Main St , Port Jervis NY 12771-2109. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Manzare, Nicole can be contacted via phone (845) 858-2874.

Contact Information

Primary practice address
88 E Main St Port Jervis NY 12771-2109
Phone: (845) 858-2874
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X New York
Behavioral Health & Social Service Providers / School 101YS0200X 1402503 New York

Profile Details

NPI number 1740627140
LBN Legal business name Manzare, Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2013
Last updated Jan 30th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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