Individual
DR. MANUEL GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39 GENESEE ST, BASEMENT, STATEN ISLAND, NY 10301-4315
(917) 776-7736
Mailing address
39 GENESEE ST, BASEMENT, STATEN ISLAND, NY 10301-4315
(917) 776-7736
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
118765
NY
2084P0800X
Psychiatry Physician
34672
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00221774
—
NY
Enumeration date
03/30/2007
Last updated
07/31/2008
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