Individual
RAUL MANRIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7901 BROADWAY, ROOM A1-9, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815
Mailing address
7901 BROADWAY, ROOM A1-9, ELMHURST, NY 11373-1329
(718) 334-4952
(718) 334-4815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
115837
NY
207RH0000X
Hematology (Internal Medicine) Physician
Primary
115837
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00382210
—
NY
Enumeration date
07/27/2006
Last updated
11/07/2007
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