Individual
DR. MANI KRISHNAMURTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
79 MIDDLEVILLE ROAD, NORTHPORT, NY 11768
(631) 261-4400
Mailing address
170 WEST MAIN STREET, EAST ISLIP, NY 11730
(631) 859-9043
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
197929
NY
Other
Enumeration date
08/31/2006
Last updated
07/24/2007
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