Fairy Laine Manzano
NPI 1417572173 · Psychiatric/Mental Health Nurse Practitioner · Lynbrook, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairy Laine Manzano is a Psychiatric/Mental Health Nurse Practitioner provider in Lynbrook, NY (NPI 1417572173).
Provider details
- NPI number
- 1417572173
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 730040 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-06-09
- Last updated
- 2025-04-13
- Certified
- 2025-04-13
Frequently asked questions
- What is Fairy Laine Manzano's NPI number?
- Fairy Laine Manzano's National Provider Identifier (NPI) is 1417572173, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fairy Laine Manzano's specialty?
- Fairy Laine Manzano is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Fairy Laine Manzano located?
- Fairy Laine Manzano's practice location on file with NPPES is 20 Exeter Ave, Lynbrook, NY 11563-3710.
- What is Fairy Laine Manzano's phone number?
- The practice phone number listed in the NPPES registry for Fairy Laine Manzano is (347) 351-2454.
- Does Fairy Laine Manzano accept Medicare?
- Fairy Laine Manzano is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Fairy Laine Manzano's NPI active?
- Yes — Fairy Laine Manzano's NPI (1417572173) is active in the NPPES registry as of the last update on 2025-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.