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Individual

MANASI DAVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-8111
(631) 444-6706
Mailing address
50 STEWART AVE APT 3A, HUNTINGTON, NY 11743-2795
(646) 340-7728

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
312314
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/05/2018
Last updated
06/26/2024
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