Basic Information
| Provider Information | |||||||||
| NPI: | 1275613366 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MANIKER | ||||||||
| FirstName: | ALLEN | ||||||||
| MiddleName: | HOWARD | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD, NEUROSURGEON | ||||||||
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| Mailing Information | |||||||||
| Address1: | 405 W 23RD ST APT 19D | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100111463 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9739722323 | ||||||||
| FaxNumber: | 9739722333 | ||||||||
| Practice Location | |||||||||
| Address1: | 10 UNION SQ E | ||||||||
| Address2: | SUITE 5D | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100033314 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9739722323 | ||||||||
| FaxNumber: | 9739722333 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/16/2006 | ||||||||
| LastUpdateDate: | 05/27/2014 | ||||||||
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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 | 246ZS0410X | 25MA05232400 | NJ | Y |
No ID Information.