Individual
MR. BOBY K MANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(516) 850-1370
Mailing address
9 MAGERUS ST, HUNTINGTON STATION, NY 11746-3827
(516) 850-1370
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
23 012503
NY
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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