Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Poornima Manikantan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891373478

Poornima Manikantan is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

101 Nicolls Rd Rm 20
Stony Brook, NY 11794-0001
Phone: (631) 444-7411
Fax: (631) 444-2493
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Nicholls Road Health Science Center T16, Room 020, Stony Brook, NY 11794-0001 — (631) 444-7411

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1891373478
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2021
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021

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