Organization
DR. MANASHEROV MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKHAIL MANASHEROV MD (PRESIDENT)
(917) 885-9906
Entity
Organization
Contact information
Practice address
6741 BURNS ST APT 406, FOREST HILLS, NY 11375-3524
(917) 885-9906
Mailing address
6741 BURNS ST APT 406, FOREST HILLS, NY 11375-3524
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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