Provider Demographics
NPI:1760350862
Name:DABBI, MANISH REDDY
Entity type:Individual
Prefix:
First Name:MANISH
Middle Name:REDDY
Last Name:DABBI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 NY 211 EAST
Mailing Address - Street 2:
Mailing Address - City:SCOTHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941
Mailing Address - Country:US
Mailing Address - Phone:917-318-5303
Mailing Address - Fax:
Practice Address - Street 1:653 NY 211 EAST
Practice Address - Street 2:
Practice Address - City:SCOTHTOWN
Practice Address - State:NY
Practice Address - Zip Code:10941
Practice Address - Country:US
Practice Address - Phone:917-318-5303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-29
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014463225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant