Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA SARA MILLER MANTELL, D.O
Active Sole ProprietorJESSICA SARA MILLER MANTELL, D.O is a Pediatric Emergency Medicine healthcare provider located in STONY BROOK, New York. NPI 1689051401 is currently active in the NPPES registry. Verify at CMS.
Pediatric Emergency Medicine · STONY BROOK, NY
Registration Details
- NPI Number
- 1689051401
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 30, 2015 (11.24715868778 yrs)
- Last Updated
- Nov 3, 2021
- Licenses
-
293180 (NY)293180 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 NICOLLS RDSTONY BROOK, NY, 117940001Browse NY providers · Browse ZIP 11794
- Phone
- 6314445437
- Primary Specialty
-
Pediatric Emergency Medicine
2080P0204X
- Additional Specialty
- Pediatric Emergency Medicine
Other Pediatric Emergency Medicine Providers in STONY BROOK, NY
| Name | Credential | NPI |
|---|---|---|
| KATHLEEN DOOBININ | MD | 1043231939 |
| DR. CARL PHILIP KAPLAN | MD | 1962515825 |
| DR. DEVIN GROSSMAN | M.D. | 1588708887 |
| DR. RICHARD L BRUCKNER | M.D. | 1417124264 |
| CAITLIN FEEKS | D.O. | 1912264060 |
| WILLIAM MAK | D.O. | 1811256258 |
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.