Manter, Kristen Denise

Manter, Kristen Denise is an individual health care provider with primary practice located at 9704 Sutphin Blvd , Jamaica NY 11435-4721. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Manter, Kristen Denise can be contacted via phone (718) 657-7088.

Contact Information

Primary practice address
9704 Sutphin Blvd Jamaica NY 11435-4721
Phone: (718) 657-7088
Fax: (718) 657-7092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 228042 1 New York

Profile Details

NPI number 1023084571
LBN Legal business name Manter, Kristen Denise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jul 20th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023084571 NPPES
New York MEDICAID 00357451
New York Other PPO5996243
New York Other 204590101
New York Other 40426028484
New York Other 112467268MA01
New York Other PC4845
New York Other P3614958

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