Provider Demographics
NPI:1033000815
Name:ENDOCRINE ASSOCIATE OF WEST VILLAGE PC
Entity type:Organization
Organization Name:ENDOCRINE ASSOCIATE OF WEST VILLAGE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANASTASIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:MANESSIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-675-9332
Mailing Address - Street 1:3636 33RD ST STE 311
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11106-2329
Mailing Address - Country:US
Mailing Address - Phone:212-675-9332
Mailing Address - Fax:212-604-3844
Practice Address - Street 1:3636 33RD ST STE 311
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11106-2329
Practice Address - Country:US
Practice Address - Phone:212-675-9332
Practice Address - Fax:212-604-3844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies