Individual
DR. DIVEY MANOCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 COUNTY ROUTE 45A, OSWEGO, NY 13126-6664
(315) 312-0089
(315) 312-0110
Mailing address
50 PRESIDENTIAL PLZ, APT 906, SYRACUSE, NY 13202-2229
(315) 200-2257
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
278820
NY
207RG0100X
Gastroenterology Physician
Primary
278820
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
278820
NY
207RI0008X
Hepatology Physician
278820
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/10/2011
Last updated
12/09/2019
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