National Provider Identifier

Michele Manka-Black, M.D.

Michele Manka-Black, M.D. is listed in the NPPES registry with a primary specialty of Pediatric Adolescent Medicine Physician in Amherst, NY and a listed phone number of (716) 691-3400.

NPI 1003882283Amherst, NYPediatric Adolescent Medicine Physician

Profile Overview

NPI
1003882283
Provider Type
Individual
Primary Specialty
Pediatric Adolescent Medicine Physician
Enumeration Date
February 27, 2006
Last Updated
July 08, 2007

Practice Location

  • 3950 E Robinson RD
  • Suite 205
  • Amherst, NY 14228-2041

Phone: (716) 691-3400

Mailing Address

  • 3950 E Robinson RD
  • Suite 205
  • W Amherst, NY 14228-2041

Specialties

  • Pediatric Adolescent Medicine Physician (2080A0000X)
Full Record
NPI
1003882283
Entity Type
Individual
Last Name
Manka-Black
First Name
Michele
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
3950 E Robinson RD
Mailing Address Line 2
Suite 205
Mailing City
W Amherst
Mailing State
NY
Mailing ZIP Code
14228-2041
Mailing Country
US
Mailing Phone
(716) 691-3400
Mailing Fax
(716) 691-3404
Practice Street Address
3950 E Robinson RD
Practice Address Line 2
Suite 205
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14228-2041
Practice Country
US
Practice Phone
(716) 691-3400
Practice Fax
(716) 691-3404
Enumeration Date
February 27, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Adolescent Medicine Physician (2080A0000X)
Other Identifiers
01824304 (NY)