Manrique, Raul

Manrique, Raul is an individual health care provider with primary practice located at 7901 Broadway Room A1-9, Elmhurst NY 11373-1329. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Manrique, Raul can be contacted via phone (718) 334-4952.

Contact Information

Primary practice address
7901 Broadway Room A1-9 Elmhurst NY 11373-1329
Phone: (718) 334-4952
Fax: (718) 334-4815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 115837 New York
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 115837 New York

Profile Details

NPI number 1972517142
LBN Legal business name Manrique, Raul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Nov 7th, 2007 - about 18 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 1972517142 NPPES
New York MEDICAID 00382210

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