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Individual

DR. JEANNE M MANUBAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
610 W 158TH ST, NEW YORK, NY 10032
(212) 544-1880
(212) 544-1870
Mailing address
610 W 158TH ST, NEW YORK, NY 10032
(212) 544-1880
(212) 544-1870

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
232811
NY

Other

Enumeration date
09/05/2006
Last updated
10/12/2012
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