Healthcare Provider Details

I. General information

NPI: 1326239807
Provider Name (Legal Business Name): MANOJ KUMAR DALMIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2007
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 LENOX RD
BROOKLYN NY
11226-4696
US

IV. Provider business mailing address

150 LENOX RD
BROOKLYN NY
11226-4696
US

V. Phone/Fax

Practice location:
  • Phone: 929-552-2442
  • Fax: 929-419-5943
Mailing address:
  • Phone: 929-552-2442
  • Fax: 929-419-5943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberA123343
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number274471
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number4301090638
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number35.098076
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number235685
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: