Individual
MOIZ ISMAIL MANAQIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 STEWART AVENUE, SUITE 100 NORTH, GARDEN CITY, NY 11530
(516) 302-8180
(516) 992-4637
Mailing address
1101 STEWART AVENUE, SUITE 100 NORTH, GARDEN CITY, NY 11530
(516) 302-8180
(516) 992-4637
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
277219
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03986183
—
NY
Enumeration date
04/20/2011
Last updated
07/26/2019
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