Individual
DR. GONZALO ANDRES MANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3415 BAINBRIDGE AVE, BRONX, NY 10467-2403
(718) 741-2150
Mailing address
211 CAROL AVE, PELHAM, NY 10803-1803
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
263140
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
263140
NY
Other
Enumeration date
07/11/2010
Last updated
03/01/2020
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