Individual
DR. GREGORY MANIATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 SEAVIEW AVE STE 200, STATEN ISLAND, NY 10305-3400
(718) 663-6400
Mailing address
163 DRAKE AVE, STATEN ISLAND, NY 10314-3011
(718) 490-7133
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
284475-1
NY
Other
Enumeration date
04/07/2011
Last updated
03/17/2018
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