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Individual

DR. DOLLY BUDDHADEV MANVAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6414 BAY PKWY, BROOKLYN, NY 11204-3929
(718) 234-2300
(718) 234-0098
Mailing address
6414 BAYPARKWAY, BROOKLYN, NY 11204
(718) 234-2300
(718) 234-0098

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
142756
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00779617
NY
Enumeration date
06/16/2006
Last updated
09/09/2010
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