Provider Demographics
NPI:1558800375
Name:MACMANUS THERAPIES INC.
Entity Type:Organization
Organization Name:MACMANUS THERAPIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:IAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MACMANUS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:516-729-1352
Mailing Address - Street 1:28 BRIARWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-4138
Mailing Address - Country:US
Mailing Address - Phone:516-729-1352
Mailing Address - Fax:631-470-6042
Practice Address - Street 1:28 BRIARWOOD DR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-4138
Practice Address - Country:US
Practice Address - Phone:516-729-1352
Practice Address - Fax:631-470-6042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-13
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012234-1261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation