Provider Demographics
NPI:1255508412
Name:MANISCALCO, FRANCO JOSEPH (CRNA)
Entity Type:Individual
Prefix:MR
First Name:FRANCO
Middle Name:JOSEPH
Last Name:MANISCALCO
Suffix:
Gender:M
Credentials:CRNA
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Mailing Address - Street 1:68 SOUTH SERVICE ROAD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747
Mailing Address - Country:US
Mailing Address - Phone:516-945-3000
Mailing Address - Fax:516-945-3131
Practice Address - Street 1:6430 ROCKLEDGE DR.
Practice Address - Street 2:SUITE 160
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817
Practice Address - Country:US
Practice Address - Phone:301-312-6144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2015-03-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI145607-30367500000X
TN13676367500000X
TN182305367500000X
MDAC001450367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered