MEDICARE: DR. NEIL MANHAR VORA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	262095	NY

General Provider Information

NPI Number	:	1548404114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEIL MANHAR VORA MD

Provider Business Mailing Address
First Line	:	4209 28TH ST # CN-48
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-4130
Country	:	US
Telephone Number	:	347-396-6299
Fax Number	:	347-396-6367

Provider Business Practice Location Address
First Line	:	3433 JUNCTION BLVD FL 2
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-3828
Country	:	US
Telephone Number	:	718-396-5143
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2009
Last Update Date	:	03/25/2024

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