Provider Demographics
NPI:1841629359
Name:FERREIRA NEVES DOS SANTOS, MARIA MANUEL
Entity type:Individual
Prefix:
First Name:MARIA MANUEL
Middle Name:
Last Name:FERREIRA NEVES DOS SANTOS
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 1:238 E 81ST ST APT 3B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-2653
Mailing Address - Country:US
Mailing Address - Phone:646-717-4809
Mailing Address - Fax:
Practice Address - Street 1:238 E 81ST ST APT 3B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-2653
Practice Address - Country:US
Practice Address - Phone:646-717-4809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP91169390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program