Lucian Miron Manu Md Psychiatry Pc | |
190 Froehlich Farm Blvd Woodbury NY 11797-2905 | |
(631) 601-5139 | |
(631) 350-0286 |
Full Name | Lucian Miron Manu Md Psychiatry Pc |
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Speciality | Psychiatry & Neurology |
Location | 190 Froehlich Farm Blvd, Woodbury, New York |
Authorized Official Name and Position | Lucian Miron Manu (PRESIDENT) |
Authorized Official Contact | 6316015139 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lucian Miron Manu Md Psychiatry Pc 101 Deer Run Roslyn Heights NY 11577-1968 Ph: (631) 601-5139 | Lucian Miron Manu Md Psychiatry Pc 190 Froehlich Farm Blvd Woodbury NY 11797-2905 Ph: (631) 601-5139 |
NPI Number | 1699470153 |
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Provider Enumeration Date | 04/04/2023 |
Last Update Date | 06/27/2024 |
Certification Date | 06/27/2024 |
Medicare PECOS PAC ID | 5395180459 |
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Medicare Enrollment ID | O20240228002082 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699470153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Lucian M Manu |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1316934300 PECOS PAC ID: 0749272342 Enrollment ID: I20140120000408 |
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