Manghisi, Stephen Victor

Manghisi, Stephen Victor is an individual health care provider with primary practice located at 1000 10Th Ave , New York NY 10019-1147. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiological Physics, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Manghisi, Stephen Victor can be contacted via phone (212) 590-2930.

Contact Information

Primary practice address
1000 10Th Ave New York NY 10019-1147
Fax: (212) 590-2982
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiological Physics 2085R0205X 191492 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 191492 New York

Profile Details

NPI number 1689604159
LBN Legal business name Manghisi, Stephen Victor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Nov 4th, 2011 - about 13 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 1689604159 NPPES
New York MEDICAID 01598296

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