Individual
ABD-MANAAF BAKERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7494
(212) 423-6262
Mailing address
1901 1ST AVE, NEW YORK, NY 10029-7494
(212) 423-6262
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
033424
NY
Other
Enumeration date
04/03/2025
Last updated
08/28/2025
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