Individual
ALEX JOHN MANEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-1693
(518) 275-4004
Mailing address
315 S MANNING BLVD, RM 7434, ALBANY, NY 12208-1707
(518) 525-1693
(518) 275-4004
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004098
NY
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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