Provider Demographics
NPI:1598647364
Name:MANISCALCO, JULIA (RN)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:MANISCALCO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CAMBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-1101
Mailing Address - Country:US
Mailing Address - Phone:516-319-2798
Mailing Address - Fax:
Practice Address - Street 1:4 CAMBRIDGE CT
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-1101
Practice Address - Country:US
Practice Address - Phone:516-319-2798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY728218163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse