PROF. TRACI CONRAD MANKUTA MAED
NPI 1295142339
Specialist in Woodbury, NY

Q: What is Traci Mankuta's NPI number?

The NPI number for Traci Mankuta is 1295142339. It was assigned to this individual provider in the NPPES registry on July 21, 2014. The provider is also known as Ms. Traci Gabrielle Conrad.

Q: What is Traci Mankuta's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Traci Mankuta was last updated on July 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 21, 2014

30 WOODLAKE DR E, WOODBURY, NY 11797(516) 802-2767(516) 484-4150 Get Directions Write a Review

NPPES record last updated: July 21, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Prof. Traci Conrad Mankuta Maed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROF. TRACI CONRAD MANKUTA MAED (NPI 1295142339) is an individual specialist in Woodbury, New York, licensed in New York (842527) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1295142339

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NamePROF. TRACI CONRAD MANKUTACredential: MAED

Location Address30 WOODLAKE DR EWoodbury, NY 11797-2317

Mailing Address30 Woodlake Dr EWoodbury, NY 11797-2317 · (516) 802-2767 · Fax (516) 484-4150

Phone(516) 802-2767

Fax(516) 484-4150

Sole ProprietorYes

Enumeration DateJuly 21, 2014

✔ NPI 1295142339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 842527

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

30 WOODLAKE DR E, Woodbury, NY 11797

Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Traci Gabrielle Conrad

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traci Mankuta's NPI number?

The NPI number for Traci Mankuta is 1295142339. It was assigned to this individual provider in the NPPES registry on July 21, 2014. The provider is also known as Ms. Traci Gabrielle Conrad.

Where is Traci Mankuta located?

Traci Mankuta practices at 30 Woodlake Dr E, Woodbury, NY 11797. The listed phone number is (516) 802-2767.

What is Traci Mankuta's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Traci Mankuta was last updated on July 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.