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General NPI Number Information
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NPI Number | 1386789329
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Entity Type | Organization
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Legal Business Name | ROBERT A. MANARO, M.D.,P.C.
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 10/03/2008
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Provider Practice Location Address
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Address Line | 3992 AMBOY RD
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City | STATEN ISLAND
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State | NY
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Zip | 10308-2408
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Country | US
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Telephone | 718-967-6600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 141288
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City | STATEN ISLAND
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State | NY
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Zip | 10314-1288
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Country | US
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Telephone | 718-967-6600
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT AGATINO MANARO
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Credential | M.D.
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Telephone | 718-967-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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