Lesly Manzano

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

20 Marlboro Rd
Valley Stream, NY 11581-3326

Phone

(718) 753-2055

NPI assigned

Jun 3, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1114585478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MARLBORO RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813326",
            "telephone_number": "718-753-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MARLBORO RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813326",
            "telephone_number": "718-753-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZANO",
        "first_name": "LESLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lesly.san09@yahoo.com",
            "affiliation": "N",
            "address_1": "20 Marlboro Rd",
            "city": "Valley Stream",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115813326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Delwin John Manning, OTA
• Julia Alicia Manning, LPN
• Brianna Manrakhan-Shiwbaran
• Mansoor Medical P C
• Errol Lloyd Manyah, LPN
• Tamara Sarita Manzo
• Syeda Apsara Manzoor
• Miriam Marciano, FNP
• Ira E Marder, OPTICIAN
• Valerie Mardi, MSW

• Specialist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.