Mimon Mamane's National Provider Identifier (NPI) Details
Mimon Mamane, LCSW
NPI: 1558860981
Enumeration Date: 2018-02-12
Last updated: 2023-04-26
Sole Proprietor: YES
Status: active
Postal Address: 1 GUSTAVE L. LEVY PLACE, MAIL BOX #1252, NEW YORK, NY
Phone: 212-241-1099
Primary Practice Address: 1160 5TH AVE, NEW YORK, NY
Practice's phone: 212-241-1099