Provider Demographics
NPI:1003132507
Name:OSCAR, MANON
Entity Type:Individual
Prefix:
First Name:MANON
Middle Name:
Last Name:OSCAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13419 166TH PL APT 13C
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-3866
Mailing Address - Country:US
Mailing Address - Phone:718-483-2329
Mailing Address - Fax:
Practice Address - Street 1:13419 166TH PL APT 13C
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-3866
Practice Address - Country:US
Practice Address - Phone:718-483-2329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-09
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY630386163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse