Individual
DIEGO DANIEL MANAVELLA ISASMENDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0631
(716) 323-0594
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0631
(716) 323-0594
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
342811
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
05/14/2026
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