Mani Vascular Surgery Pllc

NPI #1558775973 in Maspeth, New York

Provider Information

NPI Number: 1558775973
Entity Type: Organization
Organization Name: Mani Vascular Surgery Pllc
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Jun 13, 2014
Last Updated: Jun 13, 2014

Practice Location

Address: 6519 BORDEN AVE
City: Maspeth
State: New York
ZIP Code: 11378-1630
Phone: (516) 513-5639

Authorized Official

Name: DR. MANIKYAM MUTYALA
Title: M.D.
Phone: (516) 313-5639

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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