Most Relevant Information
Provider Data
NPI Number: | 1003259078 |
Provider Name: | ANNA ELENA MANIACI MSED |
Entity Type: | Individual |
Taxonomy Code: | 174400000X |
Specialty: | Specialist |
License Number: | 257176081 |
Most Important Dates
Enumeration Date: | 04/09/2013 |
Last Updated: | 04/09/2013 |
Provider Practice Location
1911 RICHMOND AVE
STATEN ISLAND
NY
103143913
Practice Location Phone/Fax
Phone: | 7188513300 |
Fax: |
Provider Mailing Location
294 ARDSLEY ST
2ND FLOOR
STATEN ISLAND
NY
103061631
Provider Mailing Phone/Fax
Phone: | 9175607181 |
Fax: |