Jessica Sara Miller Mantell
D.O | Pediatric Emergency Medicine | Female
Jessica Sara Miller Mantell, D.O is a Stony Brook, New York based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Jessica Sara Miller Mantell is
101 Nicolls Rd, Stony Brook, New York - 11794-0001. She can be contacted on phone at
631-444-5437.
Jessica Sara Miller Mantell is a sole proprietor of her business.
NPI number (Unique professional ID) for Jessica Sara Miller Mantell is
1689051401 which was assigned by NPPES on 30 Apr, 2015 and it was last updated on 03 Nov, 2021.
Jessica Sara Miller Mantell license number is
293180 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in New York.
Jessica Sara Miller Mantell has special qualifications to manage emergencies in infants and children.
Complete Profile:
Jessica Sara Miller Mantell basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Jessica Sara Miller Mantell |
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| Credential : | D.O |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Jessica Sara Miller Mantell address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 101 Nicolls Rd
Stony Brook, NY, 11794-0001
United States |
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| Phone Number : | 631-444-5437 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1689051401 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Apr, 2015 |
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| Last Updated On : | 03 Nov, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jessica Sara Miller Mantell are as mentioned. Primary taxonomy code for Jessica Sara Miller Mantell, D.O is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 293180 | NY |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 293180 | NY |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 101 Nicolls Rd
Stony Brook, NY, 11794-0001
United States |
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Business Location:
Patients can refer following map for directions to
Jessica Sara Miller Mantell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.