National Provider Identifier
Susan J Manzella
Susan J Manzella is listed in the NPPES registry with a primary specialty of Specialist in Angola, NY and a listed phone number of (716) 926-3704.
Profile Overview
- NPI
- 1174709299
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- January 18, 2008
- Last Updated
- November 30, 2011
Practice Location
- 959 Beach RD
- Angola, NY 14006-9702
Phone: (716) 926-3704
Mailing Address
- 6630 Holiday Dr
- Boston, NY 14025-9605
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1174709299
- Entity Type
- Individual
- Last Name
- Manzella
- First Name
- Susan
- Middle Name
- J
- Name Prefix
- Mrs.
- Mailing Street Address
- 6630 Holiday Dr
- Mailing City
- Boston
- Mailing State
- NY
- Mailing ZIP Code
- 14025-9605
- Mailing Country
- US
- Mailing Phone
- (716) 941-8488
- Practice Street Address
- 959 Beach RD
- Practice City
- Angola
- Practice State
- NY
- Practice ZIP Code
- 14006-9702
- Practice Country
- US
- Practice Phone
- (716) 926-3704
- Enumeration Date
- January 18, 2008
- Last Updated
- November 30, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)