Healthcare Provider Details

I. General information

NPI: 1922007103
Provider Name (Legal Business Name): ADRIAN CALIN MANIU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 07/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 HOLLAND AVE
ALBANY NY
12208
US

IV. Provider business mailing address

7 WILDWOOD DR
LOUDONVILLE NY
12211-1431
US

V. Phone/Fax

Practice location:
  • Phone: 518-626-6391
  • Fax:
Mailing address:
  • Phone: 717-460-6900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number216829
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: