Individual provider · Type 1 NPI

Fanny Mantilla

Emergency Medicine Physician · Bronx, NY

NPI number 1568416980 Active

Practice location

4422 3rd Ave, Care Of Er Department
Bronx, NY 10457-2545

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X212807 (NY)

Emergency Medicine Physician: 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 respo…

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About NPI 1568416980

Fanny Mantilla's National Provider Identifier is 1568416980, issued on May 20, 2006. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Bronx, NY. The record was last updated on Jul 13, 2026.