Individual provider · Type 1 NPI

Randolph Dacanay Manriquez, DO

Student in an Organized Health Care Education/Training Program · Riverhead, NY

NPI number 1619237138 Active

Practice location

1300 Roanoke Ave
Riverhead, NY 11901-2031

Call (631) 548-6442 Map

Mailing address

221 Turnberry Ct N
Atlantis, FL 33462-1028

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1619237138

Randolph Dacanay Manriquez, DO's National Provider Identifier is 1619237138, issued on May 17, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Riverhead, NY. The record was last updated on May 17, 2012.