Individual
CHARLYNN C MANIATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5760
(718) 780-7720
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5760
(718) 780-7720
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
142671
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00767726
—
NY
Enumeration date
06/07/2007
Last updated
04/26/2023
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