Manganaro, Stephen

Manganaro, Stephen is an individual health care provider with primary practice located at 600 Roe Ave , Elmira NY 14905-1629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Manganaro, Stephen can be contacted via phone (607) 737-4508.

Contact Information

Primary practice address
600 Roe Ave Elmira NY 14905-1629
Fax: (607) 735-5738
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 163186 New York

Profile Details

NPI number 1033129341
LBN Legal business name Manganaro, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jun 16th, 2016 - about 8 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 1033129341 NPPES
New York MEDICAID 00925939

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