ELENI CHRYSTALA MANITARAS PA-C NPI 1497398010

NPI Information

NPI: 1497398010
Provider Name: ELENI CHRYSTALA MANITARAS, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
523 E 72ND ST
NEW YORK, NY
ZIP 10021
Phone: (646) 714-6030
Get Directions

Eleni Chrystala Manitaras, PA-C is a medical physician assistant in New York, NY with 5 years of experience. Eleni Chrystala Manitaras, PA-C NPI is 1497398010. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

523 E 72ND ST
NEW YORK, NY
ZIP 10021-099
Phone: (646) 714-6030

The NPI 1497398010 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2019 and was last updated on 2/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			No
2	363AM0700X	Physician Assistant	Medical	23615	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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