Manyon, Andrea
Manyon, Andrea is an individual health care provider with primary practice located at 2465 Sheridan Dr , Tonawanda NY 14150-9407. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Manyon, Andrea can be contacted via phone (716) 835-9800.Contact Information
Primary practice address
2465 Sheridan Dr
Tonawanda NY 14150-9407
Phone: (716) 835-9800
Fax: (716) 835-9888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 160929 | New York |
Profile Details
| NPI number | 1659399095 |
|---|---|
| LBN Legal business name | Manyon, Andrea |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jun 13th, 2012 - about 12 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 | 1659399095 | NPPES |
| New York | MEDICAID | 01033247 |
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