Doctor Name: | MICHAEL J MANZANO |
NPI Number: | 1154682151 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A120949 |
Business Practice Address: | 1150 Pittsford Victor Rd Suite G-2 Pittsford, NY - 145343838 |
Business Phone Number: | 5852416877 |
Business Fax Number: | 5852416972 |
Mailing Address: | 1150 Pittsford Victor Rd, Suite G-2 PITTSFORD |
State: | NY |
Postal Code: | 145343838 |
Phone Number: | 5852416877 |
Fax Number: | 5852416972 |
NPI Enumeration Date: | 06/06/2012 |
NPI Last Update Date: | 03/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | A120949 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |