DR. Randolph Dacanay Manriquez, D.O. is a student in an organized health care education training program in Riverhead, 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. DR. Randolph Dacanay Manriquez, D.O. NPI is 1619237138. 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:
1300 ROANOKE AVE
RIVERHEAD, NY
ZIP 11901-031
Phone: (631) 548-6442
The enumeration date for this NPI number is 5/17/2012 and was last updated on 5/17/2012.