National Provider Identifier

Tatyana Manzik, PA

Tatyana Manzik, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Tonawanda, NY and a listed phone number of (716) 833-2200.

NPI 1902159643Tonawanda, NYPhysician Assistant

Profile Overview

NPI
1902159643
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
October 18, 2012
Last Updated
January 31, 2018

Practice Location

  • 1208 Niagara Falls Blvd
  • Tonawanda, NY 14150-8924

Phone: (716) 833-2200

Mailing Address

  • 908 Niagara Falls Blvd Ste 208
  • North Tonawanda, NY 14120-2019

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1902159643
Entity Type
Individual
Last Name
Manzik
First Name
Tatyana
Credential
PA
Mailing Street Address
908 Niagara Falls Blvd Ste 208
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-2019
Mailing Country
US
Mailing Phone
(716) 692-3302
Mailing Fax
(716) 692-4342
Practice Street Address
1208 Niagara Falls Blvd
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-8924
Practice Country
US
Practice Phone
(716) 833-2200
Practice Fax
(716) 332-0797
Enumeration Date
October 18, 2012
Last Updated
January 31, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)