Individual
ABDUL MANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1455 E RIDGE RD, ROCHESTER, NY 14621-2006
(585) 922-4101
(585) 922-5822
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
339159
NY
208M00000X
Hospitalist Physician
Primary
339159
NY
Other
Enumeration date
04/03/2022
Last updated
03/30/2026
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