Individual
PANAGIOTIS MANOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3016 30TH DR, ASTORIA, NY 11102-1874
(718) 626-0707
(718) 545-0333
Mailing address
3016 30TH DR, ASTORIA, NY 11102-1874
(718) 626-0707
(718) 545-0333
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
172874
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01051445
—
NY
Enumeration date
02/03/2006
Last updated
01/30/2013
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