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

Individual provider Specialist · NPI 1295142339

Prof. Traci Conrad Mankuta, MAED is a Specialist in Woodbury, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
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Practice location Address checks out

30 Woodlake Dr E
Woodbury, NY 11797-2317
Phone: (516) 802-2767
Fax: (516) 484-4150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 842527 (NY)

Record details

NPI number1295142339
Entity typeIndividual (Type 1)
GenderFemale
Credentials MAED
Sole proprietorYes
NPI enumeratedJuly 21, 2014
Last updated in NPPESJuly 21, 2014

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