Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 257983 | NY |
NPI | 1134368608 |
---|---|
Provider Name | Eric David Manheimer |
First Address | Middletown, NY 10941-4028 |
Second Address | West Nyack, NY 10994-2215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2009 |
Last Update Date | 09/10/2020 |