Individual
MANAN PANDYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
71 PROSPECT AVE, HUDSON, NY 12534-2907
(518) 828-7601
Mailing address
71 PROSPECT AVE, HUDSON, NY 12534-2907
(518) 828-7601
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
307510-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06222417
—
NY
Enumeration date
03/28/2017
Last updated
02/15/2022
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