National Provider Identifier
Shannon Christine Manzo, AUD
Shannon Christine Manzo, AUD is listed in the NPPES registry with a primary specialty of Audiologist in Rochester, NY and a listed phone number of (585) 461-9192.
Profile Overview
- NPI
- 1992798227
- Provider Type
- Individual
- Primary Specialty
- Audiologist
- Enumeration Date
- August 23, 2005
- Last Updated
- July 08, 2007
Practice Location
- 2561 Lac De Ville Blvd
- Ste 101
- Rochester, NY 14618-5645
Phone: (585) 461-9192
Specialties
- Audiologist (231H00000X)
Full Record
- NPI
- 1992798227
- Entity Type
- Individual
- Last Name
- Manzo
- First Name
- Shannon
- Middle Name
- Christine
- Name Prefix
- MS.
- Credential
- AUD
- Provider Other Last Name
- Raymond
- Provider Other First Name
- Shannon
- Provider Other Middle Name
- Christine
- Provider Other Name Prefix Text
- Miss
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2561 Lac De Ville Blvd
- Mailing Address Line 2
- Ste 101
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-5645
- Mailing Country
- US
- Mailing Phone
- (585) 461-9192
- Mailing Fax
- (585) 461-9196
- Practice Street Address
- 2561 Lac De Ville Blvd
- Practice Address Line 2
- Ste 101
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-5645
- Practice Country
- US
- Practice Phone
- (585) 461-9192
- Practice Fax
- (585) 461-9196
- Enumeration Date
- August 23, 2005
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Audiologist (231H00000X)