Healthcare Provider Details

I. General information

NPI: 1275613366
Provider Name (Legal Business Name): ALLEN HOWARD MANIKER MD, NEUROSURGEON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 05/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 UNION SQ E SUITE 5D
NEW YORK NY
10003-3314
US

IV. Provider business mailing address

405 W 23RD ST APT 19D
NEW YORK NY
10011-1463
US

V. Phone/Fax

Practice location:
  • Phone: 973-972-2323
  • Fax: 973-972-2333
Mailing address:
  • Phone: 973-972-2323
  • Fax: 973-972-2333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZS0410X
TaxonomySurgical Technologist
License Number25MA05232400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: