Individual
MELISSA MANTIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7000
Mailing address
219 DEPEW AVE, BUFFALO, NY 14214-1621
(716) 480-4221
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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