Individual
EGESTA MANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 ROUTE 52, CARMEL, NY 10512
(845) 228-2910
(845) 228-2914
Mailing address
50 DAYTON LN, SUITE 202, PEEKSKILL, NY 10566-2859
(914) 739-0087
(914) 737-1714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
250339
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03036601
—
NY
Enumeration date
04/23/2007
Last updated
06/27/2018
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