Individual
ELENI CHRYSTALA MANITARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
523 E 72ND ST, NEW YORK, NY 10021-4099
(646) 714-6030
Mailing address
523 E 72ND ST, NEW YORK, NY 10021-4099
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23615
NY
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
10/27/2019
Last updated
02/11/2022
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