IndividualActive
Andrea Manis
NPI 1770368128 · Radiologic Technologist · Syracuse, NY
Provider details
- NPI number
- 1770368128
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 526132 (TN)
Mailing address
11612a Mulberry Ave
Fort Drum, NY 13603-3250
Registry dates
- Enumerated
- 2023-08-25
- Last updated
- 2023-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.