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Organization
ROBERT A. MANARO, M.D.,P.C.
Active
Organization
ROBERT A. MANARO, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT AGATINO MANARO M.D. (PRESIDENT)
(718) 967-6600
Entity
Organization
Contact information
Practice address
3992 AMBOY RD, STATEN ISLAND, NY 10308-2408
(718) 967-6600
Mailing address
PO BOX 141288, STATEN ISLAND, NY 10314-1288
(718) 967-6600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100000080
MEDICARE PTAN
NY
Enumeration date
02/20/2007
Last updated
10/03/2008
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