Individual
DR. FARROKH R MANEKSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
181 N BELLE MEAD AVE., SUITE 5, EAST SETAUKET, NY 11733
(631) 444-4234
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
148768
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00703026
—
NY
01
—
4606866
AETNA
NY
01
—
67A931
EMPIRE BC.BS
NY
Enumeration date
08/04/2006
Last updated
07/08/2007
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