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Individual

DR. MANJULA DHAYALAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.,

Contact information

Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-3377
Mailing address
65-LORDS WAY, NEW HYDE PARK, NEW HYDE PARK, NY 11040-1712
(516) 627-0636
(718) 925-6027

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
253977-1
NY
208M00000X
Hospitalist Physician
Primary
253977
NY

Other

Enumeration date
07/24/2009
Last updated
07/21/2022
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