Katharine Jane Mann, D.C.
Individual provider Active NPI Chiropractor · Centerport, NY
NPI 1295928430 · NPPES record last updated Aug 21, 2007
Key facts
- NPI
- 1295928430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- X006732-1 (NY)
- Practice address
- 130 Hoover PL
Centerport, NY 11721-1327 - Phone
- (516) 449-2913
- NPI assigned
- Aug 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X006732-1 | NY | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X006732-1 | NY | Yes |
Addresses
Primary practice location
130 Hoover PL
Centerport, NY 11721-1327
Mailing address
PO Box 195
Centerport, NY 11721-0195
Phone (516) 449-2913
Other providers in Centerport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.