National Provider Identifier
Elias Liborio Manzella, PA-C
Elias Liborio Manzella, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 874-2273.
Profile Overview
- NPI
- 1235681404
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 03, 2016
- Last Updated
- May 30, 2024
Practice Location
- 2228 Delaware Ave Ste 200
- Buffalo, NY 14216-2618
Phone: (716) 874-2273
Specialties
- Physician Assistant (363A00000X)
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1235681404
- Entity Type
- Individual
- Last Name
- Manzella
- First Name
- Elias
- Middle Name
- Liborio
- Credential
- PA-C
- Mailing Street Address
- 2228 Delaware Ave Ste 200
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14216-2618
- Mailing Country
- US
- Mailing Phone
- (716) 874-2273
- Practice Street Address
- 2228 Delaware Ave Ste 200
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14216-2618
- Practice Country
- US
- Practice Phone
- (716) 874-2273
- Enumeration Date
- November 03, 2016
- Last Updated
- May 30, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- May 30, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)