Individual
DR. MANOJ K SUBUDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
520 FRANKLIN AVE, SUITE L-3, GARDEN CITY, NY 11530-5801
(516) 877-0205
Mailing address
520 FRANKLIN AVE, SUITE L-3, GARDEN CITY, NY 11530-5801
(516) 877-0205
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
153550
NY
Other
Enumeration date
06/25/2006
Last updated
02/28/2008
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