Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROF. TRACI CONRAD MANKUTA, MAED
Active Sole ProprietorPROF. TRACI CONRAD MANKUTA, MAED is a Specialist healthcare provider located in WOODBURY, New York. NPI 1295142339 is currently active in the NPPES registry. Verify at CMS.
Specialist · WOODBURY, NY
Registration Details
- NPI Number
- 1295142339
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 21, 2014 (12.065679333071 yrs)
- Last Updated
- Jul 21, 2014
- License
-
842527 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30 WOODLAKE DR EWOODBURY, NY, 117972317Browse NY providers · Browse ZIP 11797
- Phone
- 5168022767
- Fax
- 5164844150
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in WOODBURY, NY
| Name | Credential | NPI |
|---|---|---|
| DR. JON B TURK | M.D. | 1063585057 |
| DIANE PERITZ | MA, OTR | 1073659736 |
| DR. JONATHAN D KRYSTAL | M.D | 1770889990 |
| RUKAIYA RAHIM | — | 1710248539 |
| ELAINE BETH FEIGENBAUM | — | 1760744841 |
| MS. VANESSA WYCKOFF | — | 1538423579 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.