National Provider Identifier

Katrina Jeanne Manos, DPM

Katrina Jeanne Manos, DPM is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist in Rochester, NY and a listed phone number of (585) 225-2290.

NPI 1770710683Rochester, NYFoot & Ankle Surgery Podiatrist

Profile Overview

NPI
1770710683
Provider Type
Individual
Primary Specialty
Foot & Ankle Surgery Podiatrist
Enumeration Date
June 18, 2009
Last Updated
January 03, 2017

Practice Location

  • 2236 Ridge RD W.
  • Rochester, NY 14626-2804

Phone: (585) 225-2290

Mailing Address

  • 2236 Ridge RD. W
  • Rochester, NY 14626-2804

Specialties

  • Foot & Ankle Surgery Podiatrist (213ES0103X)
  • Foot & Ankle Surgery Podiatrist (213ES0103X)
Full Record
NPI
1770710683
Entity Type
Individual
Last Name
Manos
First Name
Katrina
Middle Name
Jeanne
Name Prefix
Mrs.
Credential
DPM
Provider Other Last Name
Hallahn
Provider Other First Name
Katrina
Provider Other Middle Name
Jeanne
Provider Other Name Prefix Text
Miss
Provider Other Last Name Type Code
1
Mailing Street Address
2236 Ridge RD. W
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-2804
Mailing Country
US
Mailing Phone
(585) 225-2290
Mailing Fax
(585) 225-1367
Practice Street Address
2236 Ridge RD W.
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-2804
Practice Country
US
Practice Phone
(585) 225-2290
Practice Fax
(585) 225-1367
Enumeration Date
June 18, 2009
Last Updated
January 03, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Foot & Ankle Surgery Podiatrist (213ES0103X), Foot & Ankle Surgery Podiatrist (213ES0103X)