| Manidvipa Health Llc | |
|
158-01 Cross Bay Blvd Howard Beach NY 11414 | |
| (516) 260-6425 | |
| Not Available |
| Full Name | Manidvipa Health Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 158-01 Cross Bay Blvd, Howard Beach, New York |
| Authorized Official Name and Position | Harirajan Mani (CEO) |
| Authorized Official Contact | 4232684100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manidvipa Health Llc 5 Valley Brook Ct Bloomington IL 61704-8385 Ph: () - | Manidvipa Health Llc 158-01 Cross Bay Blvd Howard Beach NY 11414 Ph: (516) 260-6425 |
| NPI Number | 1689496085 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689496085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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