Basic Information
| Provider Information | |||||||||
| NPI: | 1235209396 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | MANETTA | ||||||||
| FirstName: | FRANK | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | LIJMC-DEPT OF CARDIOTHORACIC SURGERY | ||||||||
| Address2: | 270-05 76TH AVENUE | ||||||||
| City: | NEW HYDE PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11040 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184707460 | ||||||||
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| Practice Location | |||||||||
| Address1: | LIJMC-DEPT OF CARDIOTHORACIC SURGERY | ||||||||
| Address2: | 270-05 76TH AVENUE SUITE O-4000 | ||||||||
| City: | NEW HYDE PARK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11040 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184707460 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/08/2006 | ||||||||
| LastUpdateDate: | 08/13/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208G00000X | 211562 | NY | Y | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
No ID Information.