Augustus G Mantia in Nesconset - Internal Medicine
Augustus G Mantia - NPI 1588662829
Augustus G Mantia is a Internal Medicine in Nesconset, New York. Augustus G Mantia practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Augustus G Mantia is 1588662829. The last update date is 2015-04-22.
Augustus G Mantia's current location address is 59 Southern Blvd, Nesconset, New York. You can contact this provider via phone number 6316591700 and fax number 6316591750. The mailing address for Augustus G Mantia is 59 Southern Blvd, Nesconset, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Augustus G Mantia |
|---|---|
| Address | 59 Southern Blvd, Nesconset, New York |
| Phone Number | 6316591700 |
| Fax Number | 6316591750 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588662829 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2015-04-22 |
Provider Mailing Address Detail
| Address | 59 Southern Blvd |
|---|---|
| City | Nesconset |
| State | New York (NY) |
| Post Code | 117671090 |
| Phone Number | 6316591700 |
| Fax Number | 6316591750 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 124142 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2785973 | NY | -- |
Post Comment/ Review Below
What is the Augustus G Mantia's unique identification number?
The Augustus G Mantia has been assigned the NPI (National Provider Identifier) Number 1588662829 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Augustus G Mantia is geographically located?
The Augustus G Mantia is physically situated at the following location: 59 Southern Blvd, Nesconset, NY, 117671090.
What is Augustus G Mantia's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Augustus G Mantia is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1588662829 to Augustus G Mantia?
The Centers for Medicare & Medicaid Services originally issued the 1588662829 to Augustus G Mantia on 2005-07-11.
As of what date were the Augustus G Mantia's details last updated?
The information pertaining to the Augustus G Mantia, including its address, specialty, and other details, was most recently updated on 2015-04-22.
NPI Number: 1215930425
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