Organization
WILBERT B. MANIEGO, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILBERT B MANIEGO M.D. (PRESIDENT/PHYSICIAN)
(718) 343-7600
Entity
Organization
Contact information
Practice address
915 HILLSIDE AVE, NEW HYDE PARK, NY 11040-2529
(718) 343-7600
(718) 343-7603
Mailing address
915 HILLSIDE AVE, NEW HYDE PARK, NY 11040-2529
(718) 343-7600
(718) 343-7603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
221557
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
221557-1
NY
Other
Enumeration date
02/18/2011
Last updated
03/19/2012
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