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Manikyam Mutyala, MD
Vascular Surgery Physician in Floral Park, New York
NPI 1326068198

Manikyam Mutyala is a Vascular Surgery Physician based in Floral Park, NY and is specialized in Vascular Surgery. Manikyam Mutyala practices in Floral Park, NY and has the professional credentials of MD. The NPI Number for Manikyam Mutyala is 1326068198 and holds a License No. 229717-1 (New York).

The current practice location address for Manikyam Mutyala is 276 85Th Ave, Floral Park, NY and can be reached out via phone at 516-358-1674.

Location: 276 85Th Ave, Floral Park, NY, 11001-1205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326068198
Provider Name
Manikyam Mutyala
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
276 85Th Ave, Floral Park, NY, 11001-1205
Phone Number
516-358-1674
Fax Number
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02559171 05 NY
institution
Provider Business Practice Location Address Details
Address
276 85Th Ave
City
Floral Park
State
New York
Zip
11001-1205
Phone Number
516-358-1674
Fax Number
person
Provider Business Mailing Address Details
Address
276 85Th Ave
City
Floral Park
State
New York
Zip
11001-1205
Phone Number
516-358-1674
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
229717-1 (New York)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
229717-1 (New York)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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