Individual
MR. RICARDO A MANNING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
451 CLARKSON AVE, ROOM # A6128, BROOKLYN, NY 11203-2057
(718) 245-3766
(718) 245-3764
Mailing address
425A DECATUR ST, BROOKLYN, NY 11233-1507
(718) 773-4531
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003392-1
NY
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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