SearchNew Jersey164W00000X

Mankazon Tidoe

NPI 1184968471 · on the registry since 2012 · sole proprietor

Practice

Address
14 Galway Pl
Teaneck, NJ 07666
Phone
(201) 837-9273

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-11-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey