Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Fanny Mantilla

Individual provider Emergency Medicine Physician · NPI 1568416980

Dr. Fanny Mantilla is an Emergency Medicine in Bronx, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 1997, 29 years ago. Practices with Sbh Physicians PC, a 177-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

4422 3rd Ave Care Of ER Dept
Bronx, NY 10457-2545
Phone: (718) 960-6103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 212807 (NY)

Record details

NPI number1568416980
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 20, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 1997 (29 years in practice)
Group practice Sbh Physicians Pc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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