National Provider Identifier
Manal Ismail Fallatah, RN, BSN, MSN.
Manal Ismail Fallatah, RN, BSN, MSN. is listed in the NPPES registry with a primary specialty of Registered Nurse in Victor, NY and a listed phone number of (585) 200-0553.
Profile Overview
- NPI
- 1467136309
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- June 12, 2023
- Last Updated
- June 13, 2023
Practice Location
- 531 Championship Dr
- Victor, NY 14564-8810
Phone: (585) 200-0553
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1467136309
- Entity Type
- Individual
- Last Name
- Fallatah
- First Name
- Manal
- Middle Name
- Ismail
- Name Prefix
- MS.
- Credential
- RN, BSN, MSN.
- Provider Other Last Name
- Johnston
- Provider Other First Name
- Manal
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- RN, BSN, MSN.
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 531 Championship Dr
- Mailing City
- Victor
- Mailing State
- NY
- Mailing ZIP Code
- 14564-8810
- Mailing Country
- US
- Mailing Phone
- (585) 200-0553
- Practice Street Address
- 531 Championship Dr
- Practice City
- Victor
- Practice State
- NY
- Practice ZIP Code
- 14564-8810
- Practice Country
- US
- Practice Phone
- (585) 200-0553
- Enumeration Date
- June 12, 2023
- Last Updated
- June 13, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- June 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)