MANUEL A FARESCAL
Debarred entityBorn 12 Apr 1941 (85 years old),United States. Named in 5 sanctions listings.
Summary
UPIN: B81540
Sanctions and listings5
- Effective
- 20 Sep 2012
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
- Listed
- 6 Dec 2012
- Effective
- 31 Oct 2012
- Effective
- 20 Sep 2012
Official designation
New York State Office of the Medicaid Inspector GeneralUS New York State Medicaid ExclusionsUnited States
- Effective
- 20 Sep 2012
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128b4
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Listed
- 5 Oct 2012
- Effective
- 20 Sep 2012
Reciprocal
HHSUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Excluded by the Department of Health and Human Services pursuant to section 1128 or other sections of the Social Security Act from participation in all Federal health care programs (the scope and effect of Federal health care program exclusions is described in 42 C.F.R. section 1001.1901).
Positions held1
Period not retained
INTERNAL MEDICINE (PHYSICIAN (MD, DO))
Identifiers3
| Identifier | Number |
|---|---|
| ID number | 113409 (NY) |
| ID number | 00113409 |
| NPI number | 1083647093 |
Other names2
Also known as2
Addresses3
CORONA, NY 11368
10814 42ND AVENUE, CORONA, NY 11368
(NY), (NY)
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