ELVIA ELIZABETH MANRIQUE

MIDDLE ISLAND, NY
NPI1902121858
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F336031-1)
Enumeration Date2010-04-05
Last Update Date2010-04-05
Business Address
Miss ELVIA ELIZABETH MANRIQUE FNP
35 LONGWOOD ROAD
MIDDLE ISLAND, NY 11953
Phone number: 631-924-1000
Mailing Address
Miss ELVIA ELIZABETH MANRIQUE FNP
354 BROADWAY
PORT JEFFERSON STATION, NY 11776
Phone number: 631-473-7518