Organization
JASTY & MANVAR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUDDHADEV MANVAR M.D. (PRESIDENT)
(718) 234-2300
Entity
Organization
Contact information
Practice address
6414 BAY PKWY, BROOKLYN, NY 11204-3929
(718) 234-2300
(718) 234-0098
Mailing address
6414 BAY PKWY, BROOKLYN, NY 11204-3929
(718) 234-2300
(718) 234-0098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
139432
NY
207R00000X
Internal Medicine Physician
141049
NY
207R00000X
Internal Medicine Physician
215612
NY
207RC0000X
Cardiovascular Disease Physician
139342
NY
207RC0000X
Cardiovascular Disease Physician
Primary
141049
NY
207UN0901X
Nuclear Cardiology Physician
139432
NY
207UN0901X
Nuclear Cardiology Physician
141049
NY
2086S0129X
Vascular Surgery Physician
141049
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00579740
—
NY
05
—
00709628
—
NY
05
—
02098548
—
NY
Enumeration date
03/12/2007
Last updated
09/27/2007
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