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Individual

MANISH A VIRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3900
(718) 343-6254
Mailing address
175 COMMUNITY DR, GREAT NECK, NY 11021-5502
(516) 465-3017
(516) 465-1830

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
421605
NY

Other

Enumeration date
07/03/2007
Last updated
07/08/2007
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