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:
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Health care specialties

SpecialtyCodeLicense #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 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003882283 NPPES
New York MEDICAID 01824304

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