Organization
NORTH ISLAND MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL TALAVERA M.D. (OWNER/PRESIDENT)
(516) 616-7600
Entity
Organization
Contact information
Practice address
1575 HILLSIDE AVE, SUITE LL1, NEW HYDE PARK, NY 11040-2501
(516) 616-7600
(516) 616-4821
Mailing address
1575 HILLSIDE AVE, SUITE LL1, NEW HYDE PARK, NY 11040-2501
(516) 616-7600
(516) 616-4821
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
099616
NY
Other
Enumeration date
07/07/2006
Last updated
08/22/2020
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