Individual
NIELS MANU DUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3274 STEINWAY ST, ASTORIA, NY 11103-4006
(860) 997-4957
(718) 721-0122
Mailing address
3274 STEINWAY ST, ASTORIA, NY 11103-4006
(860) 997-4957
(718) 721-0122
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
211446
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02602308
—
NY
Enumeration date
07/09/2006
Last updated
01/03/2017
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