Individual
MANZUR A. SHEIKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2559
(718) 630-7185
Mailing address
150 55TH ST, BROOKLYN, NY 11220-2508
(718) 630-6375
(718) 630-6322
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
211515-1
NY
208000000X
Pediatrics Physician
211515-1
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
211515
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01985693
—
NY
01
—
643Y81
BLUECROSS BLUESHIELD
NY
Enumeration date
02/28/2006
Last updated
06/09/2023
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