Provider Demographics
NPI:1144346933
Name:MANNION, JOHN J (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:MANNION
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2727
Mailing Address - Country:US
Mailing Address - Phone:516-746-7694
Mailing Address - Fax:516-746-1330
Practice Address - Street 1:501 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-2727
Practice Address - Country:US
Practice Address - Phone:516-746-7694
Practice Address - Fax:516-746-1330
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX3488111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX19731Medicare PIN