SearchNew Jersey101YM0800X

Lilly Manzo

NPI 1194547471 · on the registry since 2024

Practice

Address
526 Roosevelt St
Roselle Park, NJ 07204
Phone
(908) 463-3830

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-29

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