National Provider Identifier

Diego Daniel Manavella Isasmendi, MD, PHD

Diego Daniel Manavella Isasmendi, MD, PHD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 323-0631.

NPI 1265173371Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1265173371
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 05, 2022
Last Updated
April 05, 2022

Practice Location

  • 1001 Main St Fl 5
  • Buffalo, NY 14203-1009

Phone: (716) 323-0631

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1265173371
Entity Type
Individual
Last Name
Manavella Isasmendi
First Name
Diego
Middle Name
Daniel
Credential
MD, PHD
Mailing Street Address
1001 Main St Fl 5
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1009
Mailing Country
US
Mailing Phone
(716) 323-0631
Mailing Fax
(716) 323-0594
Practice Street Address
1001 Main St Fl 5
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1009
Practice Country
US
Practice Phone
(716) 323-0631
Practice Fax
(716) 323-0594
Enumeration Date
April 05, 2022
Last Updated
April 05, 2022
Sex
Male
Sole Proprietor
No
Certification Date
April 04, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)