Basic Information
Provider Information
NPI: 1578756011
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARUL
FirstName: MANONMANI
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 506 LENOX AVE
Address2: MLK 4143
City: NEW YORK
State: NY
PostalCode: 100371802
CountryCode: US
TelephoneNumber: 9176979639
FaxNumber:  
Practice Location
Address1: 506 LENOX AVE
Address2: MLK 4143
City: NEW YORK
State: NY
PostalCode: 10037
CountryCode: US
TelephoneNumber: 2129394335
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/18/2007
LastUpdateDate: 12/04/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X264075NYY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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