ALEXIS NICOLE MANZ


Address: 1200 Route 300, Newburgh, NY 12550-5003
Phone: 8457036999

ALEXIS NICOLE MANZ (NPI# 1649894338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649894338
Entity Type Individual
Full Name ALEXIS NICOLE MANZ
Credential PA
Practice Address 1200 Route 300
Newburgh
NY 12550-5003
Mailing Address 155 Crystal Run Rd
Middletown
NY 10941-4028
Practice Telephone 8457036999
Practice Fax Number 8457036297
Mailing Telephone 8457036999
Mailing Fax Number 8457036297
Enumeration Date 2020-05-29
Last Update Date 2020-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
024834 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1200 ROUTE 300
City NEWBURGH
State NY
Zip Code 12550-5003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316917990 Eileen Gayle Bogursky Obstetrics & Gynecology 1200 Route 300, Newburgh, NY 12550-5003 2006-01-25
1134643075 Michelle Newell-whitney Nurse Practitioner 1200 Route 300, Newburgh, NY 12550-5003 2017-08-02
1831610369 Mandi L. Zaccagnino Nurse Practitioner 1200 Route 300, Newburgh, NY 12550-5003 2017-07-06
1790137743 Tiffanie R. Santos Pediatrics 1200 Route 300, Newburgh, NY 12550-5003 2016-07-01
1356796312 Megan Elizabeth Kaknis Internal Medicine 1200 Route 300, Newburgh, NY 12550-5003 2016-04-27
1053780403 Crystal Run Healthcare Physicians LLP Durable Medical Equipment & Medical Supplies 1200 Route 300, Newburgh, NY 12550-5003 2015-09-16
1104207893 Theresa Marie Clearwater Nurse Practitioner 1200 Route 300, Newburgh, NY 12550-5003 2015-06-18
1063807980 Sebastian Salvatore Demarco Dermatology 1200 Route 300, Newburgh, NY 12550-5003 2015-03-30
1871993642 Veronica Ferencz Surgery 1200 Route 300, Crystal Run Healthcare- Breast Surgery, Newburgh, NY 12550 2014-08-29
1174962971 Bernadette Sikes Wood Internal Medicine 1200 Route 300, Newburgh, NY 12550-5003 2013-06-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154986057 Jennifer Lauren Steckenrider Optometrist 1201 Ny-300, Newburgh, NY 12550 2019-05-06
1386103125 Dorian Kim Shann Physical Therapist 53 Ny-17k Suite 2, Newburgh, NY 12550 2019-03-19
1083186100 Kimberly Ellen Vondras Registered Nurse 21-23 Grand Street, Newburgh, NY 12550 2018-12-31
1487144887 Jenna Gaudio Dentist 1413 Union Ave, Newburgh, NY 12550 2018-05-11
1215431119 Diane Gonzales Counselor 3 Commercial Place, Newburgh, NY 12550 2018-03-23
1386148740 Cvs Albany LLC Pharmacy 203 South Plank Rd, Newburgh, NY 12550 2018-03-21
1063939510 Paula A. Coloni Social Worker One Maguire Way Stewart Air National Guard Base, Newburgh, NY 12550 2017-08-25
1306362652 Richard Malvey Counselor 172 Liberty Street, Newburgh, NY 12550 2017-08-18
1770008559 Walgreen Co Pharmacy 59 N Plank Rd Ste 2, Newburgh, NY 12550 2017-08-14
1639691017 Danielle Elizabeth Ingrassia Behavioral Analyst 8 Crestwood Ct., Newburgh, NY 12550 2017-07-07
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689785156 Phyllis Young Physician Assistant 254 Route 17k, Suite 203, Newburgh, NY 12550-8343 2006-08-31
1225042344 Julie C Ormiston Physician Assistant 308 Fullerton Ave, Newburgh, NY 12550-3722 2006-07-27
1225014210 Thomas W Waters Physician Assistant 5911 Laurel Ridge Dr, Newburgh, IN 47630-8067 2005-12-21
1669019675 Kayley Mae Spinella Physician Assistant 147 Lake St, Newburgh, NY 12550-5263 2019-12-09
1740762673 Elizabeth Conkling Physician Assistant 100 St Marys Epworth Xing Ste B100, Newburgh, IN 47630-9161 2018-09-06
1083120273 Brianna Miller Physician Assistant 100 St Marys Epworth Xing Ste B100, Newburgh, IN 47630-9161 2017-12-26
1457870289 Stephanie Marie Kramer Physician Assistant 200 Stony Brook Ct, Newburgh, NY 12550 2017-09-13
1487182283 Ethan Levine Physician Assistant 70 Dubois St, Newburgh, NY 12550-4851 2017-05-24
1497202964 Lindsey Alt Physician Assistant 147 Lake St, Newburgh, NY 12550 2016-09-01
1962888248 Kirstin A Tarquini Physician Assistant 147 Lake St, Newburgh, NY 12550-5263 2015-08-10
Find all providers in NEWBURGH

Competitor

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City NEWBURGH
Zip Code 12550

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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