| Doctor Name: | PAULA M MANISCALCO |
| NPI Number: | 1013045236 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RPA |
| License Number: | 002030 |
| Business Practice Address: | 600 Northern Blvd Albany, NY - 122041004 |
| Business Phone Number: | 5184713221 |
| Business Fax Number: | 5184714950 |
| Mailing Address: | 7 Arden Ct, ALBANY |
| State: | NY |
| Postal Code: | 122052901 |
| Phone Number: | 5184592458 |
| Fax Number: | |
| NPI Enumeration Date: | 03/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 002030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |