Provider Demographics
NPI:1639143340
Name:MANUBAY, CECILIA R (PT)
Entity Type:Individual
Prefix:MS
First Name:CECILIA
Middle Name:R
Last Name:MANUBAY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:155 E 55TH ST
Mailing Address - Street 2:STE 5D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4038
Mailing Address - Country:US
Mailing Address - Phone:212-759-4460
Mailing Address - Fax:212-759-1353
Practice Address - Street 1:370 LEXINGTON AVE
Practice Address - Street 2:SUITE 614
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6503
Practice Address - Country:US
Practice Address - Phone:212-759-4460
Practice Address - Fax:212-935-5025
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2017-02-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY021798225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400076214Medicare PIN
NYQ29L41Medicare ID - Type UnspecifiedPHYSICAL THERAPIST