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Search › New York › 2080P0204X

Jessica Miller Mantell, D.O

NPI 1689051401 · on the registry since 2015 · sole proprietor

Practice

Address
101 Nicolls Rd
Stony Brook, NY 11794
Phone
(631) 444-5437
Organisation at this address
Sonmed
Havencrest Network Llc
Havencrest Network Llc
Stony Brook University Hospital
Wai Ying Chan Np In Psychiatry Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,054

Registry record

Primary taxonomy
2080P0204X
2080P0204X
Also registered as
208000000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-03

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 York