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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LUISE IRA MAMBA, CTRS

Active

LUISE IRA MAMBA, CTRS is a Recreation Therapist healthcare provider located in AMITYVILLE, New York. NPI 1851959233 is currently active in the NPPES registry. Verify at CMS.

Recreation Therapist · AMITYVILLE, NY

Registration Details

NPI Number
1851959233
Provider Type
Individual
Gender
Female
NPI Issued
May 31, 2019 (7.16527142754 yrs)
Last Updated
May 31, 2019
License
70325

Practice Information

Address
400 SUNRISE HWY
AMITYVILLE, NY, 117012508
Browse NY providers · Browse ZIP 11701
Phone
6316085433
Primary Specialty
Recreation Therapist
225800000X

Other Recreation Therapist Providers in AMITYVILLE, NY

Name Credential NPI
NICOLE ANGELINA SPIEGLER CTRS 1144884453
JESSIC MIRIAM GREENE CTRS 1710541008
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.