Manfredi, Ronald A.

Manfredi, Ronald A. is an individual health care provider with primary practice located at 360 Bard Ave , Staten Island NY 10310-1666. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Manfredi, Ronald A. can be contacted via phone (718) 876-2000.

Contact Information

Primary practice address
360 Bard Ave Staten Island NY 10310-1666
Phone: (718) 876-2000
Fax: (718) 876-2006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 172875 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 172875 New York

Profile Details

NPI number 1679550131
LBN Legal business name Manfredi, Ronald A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jul 13th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679550131 NPPES
New York MEDICAID 01415989

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