Individual
DR. ROBERT BRADLEY MANIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK PRESBYTERIAN HOSPITAL DEPT. OF ANESTHESIOLOGY, NEW YORK, NY 10032-3720
(212) 305-9876
Mailing address
622 W 168TH ST, NEW YORK PRESBYTERIAN HOSPITAL DEPT. OF ANESTHESIOLOGY, NEW YORK, NY 10032-3720
(212) 305-9876
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
262811-1
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
262811-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03412071
—
NY
01
—
A400060220
MEDICARE
NY
Enumeration date
07/31/2008
Last updated
06/21/2012
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