Provider Demographics
NPI:1396943809
Name:KURIEN, MANI ABRAHAM (MD)
Entity type:Individual
Prefix:DR
First Name:MANI
Middle Name:ABRAHAM
Last Name:KURIEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:300 CRITTENDEN BLVD
Mailing Address - Street 2:UNIVERSITY OF ROCHESTER MEDICAL CENTER
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:224-616-1608
Mailing Address - Fax:585-292-1766
Practice Address - Street 1:UNIVERSITY OF ROCHESTER MEDICAL CTR
Practice Address - Street 2:300 CRITTENDEN BLVD
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-3641
Practice Address - Fax:585-292-1766
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2023-07-06
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Provider Licenses
StateLicense IDTaxonomies
NY2609482084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400050355Medicare PIN
NYJ400050353Medicare PIN