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Contact Information

NOELLE MANN, MD
500 COMMACK RD STE 203
COMMACK, NY11725-5020
 Phone: 631-444-9600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NOELLE MANN · (Female)

NPI Number 1174548333
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2006
Last updated 04/27/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 203397
  • NY Medicaid 02148438
  • NY Other 7743224 AETNA
  • NY Other 16S381 EMPIRE BC.BS
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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