Maniace, Richard P.
Maniace, Richard P. is an individual health care provider with primary practice located at 900 Elmgrove Road , Rochester NY 14624-6236. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Maniace, Richard P. can be contacted via phone (585) 426-4100.Contact Information
Primary practice address
900 Elmgrove Road
Rochester NY 14624-6236
Phone: (585) 426-4100
Fax: (585) 426-3701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F381303 | New York |
Profile Details
| NPI number | 1063517787 |
|---|---|
| LBN Legal business name | Maniace, Richard P. |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Nov 19th, 2019 - about 7 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 | 1063517787 | NPPES |
| New York | MEDICAID | 02052371 | |
| New York | Other | 384749 | |
| New York | Other | 01725 | |
| New York | Other | 4334391 | |
| New York | Other | NP0022 | |
| New York | Other | P010164923 | |
| New York | Other | RC60164923 | |
| New York | Other | Y028938 |
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