Individual
CIELO MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 GRAND ST, APT. F705, NEW YORK, NY 10002-4771
(917) 232-0501
Mailing address
413 GRAND ST, APT. F705, NEW YORK, NY 10002-4771
(917) 232-0501
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
955551991
NY
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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