Individual
DEEPA MANIMEGALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 CENTER WAY, CORNING, NY 14830-2255
(607) 973-8022
(607) 937-1842
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(705) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
294401
NY
Other
Enumeration date
04/27/2015
Last updated
03/04/2021
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