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Individual

MANUEL HIDALGO MEDINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1305 YORK AVE RM Y741, NEW YORK, NY 10021-5663
(646) 962-6200
Mailing address
1305 YORK AVE RM Y&41, NEW YORK, NY 10021-5663

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
298682
NY
207RH0003X
Hematology & Oncology Physician
D58492
MD
207RX0202X
Medical Oncology Physician
Primary
298682
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
403130000
MD
Enumeration date
05/11/2006
Last updated
01/16/2026
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