Sylvia Mamani, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

60244911 Issued in NY

Practice address

43 Church St
Freeport, NY 11520-3830

Phone

(516) 223-2900

NPI assigned

Jun 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Idro Medical PC

  • Clinic/Center
  • Freeport, NY
  • NPI 1982785606
  NPD (past)
• Luis O Herrera

  • Primary Care Clinic/Center
  • Freeport, NY
  • NPI 1104167295
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649477969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 LEE RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302520",
            "telephone_number": "917-402-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CHURCH ST",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203830",
            "telephone_number": "516-223-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMANI",
        "first_name": "SYLVIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "60244911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Main Street Dialysis Center LLC
• Main Street Kidney Group
• Hyitreal Maitre
• Maxo Junior Maitre
• Kathleen Marie Malizia
• Manifesting Dreams Inc
• Martha George Marcellus
• Nadgeffrena Marcena
• Rosemary Marrugo, MS
• Janette Marsac, LMSW, RDN

• Pediatrics Physician in Freeport, NY
• Providers in Freeport, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.