Individual
ANASTASIOS MANARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
540 UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 669-2555
(631) 669-5787
Mailing address
500 MONTAUK HWY, STE S, WEST ISLIP, NY 11795-4420
(631) 940-9009
(631) 940-9010
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1945031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02075152
—
NY
Enumeration date
01/20/2006
Last updated
10/02/2020
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