Individual
DR. MICHELE MANKA-BLACK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3950 E ROBINSON RD, SUITE 205, AMHERST, NY 14228-2041
(716) 691-3400
(716) 691-3404
Mailing address
3950 E ROBINSON RD, SUITE 205, W AMHERST, NY 14228-2041
(716) 691-3400
(716) 691-3404
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
205861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01824304
—
NY
Enumeration date
02/27/2006
Last updated
07/08/2007
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