Mannix Family Market @ Forest and Richmond Ave LLC

Practice location

Address

985 Richmond Ave, Staten Island, NY 10314-1501

Phone

(718) 982-8615

Fax

(718) 982-8633

Authorised official

Name

Melissa Figueroa Rivera

Title

Third Party Administrator

Phone

(732) 521-8439

Registered specialties

Registry record

NPI

1003006982

Entity type

Organization

NPI issued

27 Jul 2007

Record last updated

30 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.