Surya Manickam, MD, SCM is a student in an organized health care education training program in New York, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Surya Manickam, MD, SCM NPI is 1881222768. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3959 BROADWAY
NEW YORK, NY
ZIP 10032-559
Phone: (212) 305-8504
The enumeration date for this NPI number is 3/27/2020 and was last updated on 3/27/2020.