Individual
DR. MANISH THAKUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1383
(607) 274-4011
Mailing address
40 VILLAGE CIR APT F, ITHACA, NY 14850-8598
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
317476
NY
Other
Enumeration date
07/01/2019
Last updated
09/08/2022
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