Manka-Black, Michele
Manka-Black, Michele is an individual health care provider with primary practice located at 3950 E Robinson Rd Suite 205, Amherst NY 14228-2041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Manka-Black, Michele can be contacted via phone (716) 691-3400.Contact Information
Primary practice address
3950 E Robinson Rd Suite 205
Amherst NY 14228-2041
Phone: (716) 691-3400
Fax: (716) 691-3404
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 205861 | New York |
Profile Details
NPI number | 1003882283 |
---|---|
LBN Legal business name | Manka-Black, Michele |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003882283 | NPPES |
New York | MEDICAID | 01824304 |
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