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Individual

THOMAS MANIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6501
(516) 572-5609
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6501
(516) 572-5609

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
111868
NY
207RN0300X
Nephrology Physician
Primary
111868
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00313837
NY
Enumeration date
03/23/2006
Last updated
04/10/2008
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