| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JIANLIANG MAN | 1679920003 | 2024-04-06 |
Jianliang Man is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1679920003. Registration indicates Jianliang Man is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Colon & Rectal Surgery (Colon & Rectal Surgery, ) (Specialist Network, ) (Colon & Rectal Surgery, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Jianliang Man M.D. |
| Practice Office Address | 101 NICOLLS RD STONY BROOK, NY US |
| Practice Office Telephone | 6316898333 |
| Mailing Address | 2106 AVALON PINES DR CORAM, NY 117275146 US |
| Code | Practice | License No State |
|---|---|---|
| 208C00000X PRIMARY | Allopathic & Osteopathic Physicians Colon & Rectal Surgery Colon & Rectal Surgery Specialist Network Colon & Rectal Surgery Allopathic & Osteopathic Physicians | 324339
NY |