Provider Demographics
NPI:1780482372
Name:ALMANZAR, MANUEL TOMAS (INTERN)
Entity type:Individual
Prefix:
First Name:MANUEL
Middle Name:TOMAS
Last Name:ALMANZAR
Suffix:
Gender:
Credentials:INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 FAIRFIELD CIR APT 15A
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-4713
Mailing Address - Country:US
Mailing Address - Phone:516-701-5989
Mailing Address - Fax:
Practice Address - Street 1:3 FAIRFIELD CIR APT 15A
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-4713
Practice Address - Country:US
Practice Address - Phone:516-701-5989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)