Manter, Kristen Denise
Manter, Kristen Denise is an individual health care provider with primary practice located at 9704 Sutphin Blvd , Jamaica NY 11435-4721. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Manter, Kristen Denise can be contacted via phone (718) 657-7088.Contact Information
Primary practice address
9704 Sutphin Blvd
Jamaica NY 11435-4721
Phone: (718) 657-7088
Fax: (718) 657-7092
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 228042 1 | New York |
Profile Details
NPI number | 1023084571 |
---|---|
LBN Legal business name | Manter, Kristen Denise |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 24th, 2006 |
Last updated | Jul 20th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023084571 | NPPES |
New York | MEDICAID | 00357451 | |
New York | Other | PPO5996243 | |
New York | Other | 204590101 | |
New York | Other | 40426028484 | |
New York | Other | 112467268MA01 | |
New York | Other | PC4845 | |
New York | Other | P3614958 |
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