Healthcare Provider Details

I. General information

NPI: 1396211918
Provider Name (Legal Business Name): MANHATTAN MEDICAL ARTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2018
Last Update Date: 05/22/2023
Certification Date: 05/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

492 6TH AVE
NEW YORK NY
10011-8404
US

IV. Provider business mailing address

492 6TH AVE
NEW YORK NY
10011-8404
US

V. Phone/Fax

Practice location:
  • Phone: 646-454-9000
  • Fax: 646-454-9047
Mailing address:
  • Phone: 646-454-9000
  • Fax: 646-454-9047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SYRA HANIF
Title or Position: OWNER
Credential: MD
Phone: 646-454-9000