National Provider Identifier

Dawn J Manzella, MSED

Dawn J Manzella, MSED is listed in the NPPES registry with a primary specialty of Specialist in Fredonia, NY and a listed phone number of (716) 672-2731.

NPI 1013516277Fredonia, NYSpecialist

Profile Overview

NPI
1013516277
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
October 20, 2020
Last Updated
October 20, 2020

Practice Location

  • 135 W Mainn St
  • Fredonia, NY 14063

Phone: (716) 672-2731

Mailing Address

  • 40 Holmes Pl
  • Fredonia, NY 14063-1214

Specialties

  • Specialist (174400000X)
Full Record
NPI
1013516277
Entity Type
Individual
Last Name
Manzella
First Name
Dawn
Middle Name
J
Credential
MSED
Mailing Street Address
40 Holmes Pl
Mailing City
Fredonia
Mailing State
NY
Mailing ZIP Code
14063-1214
Mailing Country
US
Mailing Phone
(716) 796-7359
Practice Street Address
135 W Mainn St
Practice City
Fredonia
Practice State
NY
Practice ZIP Code
14063
Practice Country
US
Practice Phone
(716) 672-2731
Enumeration Date
October 20, 2020
Last Updated
October 20, 2020
Sex
Female
Sole Proprietor
No
Certification Date
October 15, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)