Individual
MICHAEL G MANOLIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1112 SOUTH AVE STE B, STATEN ISLAND, NY 10314-3410
(718) 761-8800
(718) 761-8804
Mailing address
1112 SOUTH AVE STE B, STATEN ISLAND, NY 10314-3410
(718) 761-8800
(718) 761-8804
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
193834
NY
207RC0000X
Cardiovascular Disease Physician
25MA07899900
NJ
207RI0011X
Interventional Cardiology Physician
193834
NY
Other
Enumeration date
02/27/2007
Last updated
09/10/2024
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