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1881222768
SURYA MANICKAM
NEW YORK, NY
NPI
1881222768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-27
Last Update Date
2020-03-27
Business Address
SURYA MANICKAM MD, ScM
3959 BROADWAY
NEW YORK, NY 10032-1559
Phone number: 212-305-8504
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Mailing Address
SURYA MANICKAM MD, ScM
3959 BROADWAY
NEW YORK, NY 10032-1559
Phone number: 212-305-8504
Copy
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