Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 132490 | NY |
NPI | 1013005065 |
---|---|
Provider Name | Manuel C Sy |
First Address | New York, NY 10013-4556 |
Second Address | New York, NY 10013-4556 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 06/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00247241 | (05) | NY |
C08553 | (02) | NY |