Individual
JOSEPH A MANZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
261 DELAWARE AVE, DELMAR, NY 12054-1124
(518) 439-0423
(518) 478-9044
Mailing address
261 DELAWARE AVE, DELMAR, NY 12054-1124
(518) 439-0423
(518) 478-9044
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N003632-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00852942
—
NY
01
—
1129470001
DME MEDICARE
NY
01
—
480003192
RAILROAD MEDICARE
NY
Enumeration date
07/06/2005
Last updated
12/22/2014
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