Organization
MAIN GASTROENTEROLOGY. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANONINO MANONNE M.D. (PHYSICIAN)
(716) 632-3577
Entity
Organization
Contact information
Practice address
8201 MAIN ST. STE 4, WILLIAMSVILLE, NY 14221
(716) 632-3577
(716) 631-8275
Mailing address
6637 MAIN ST, WILLIAMSVILLE, NY 14221-5974
(716) 632-3576
(716) 631-8275
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
159226-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00801969
—
NY
05
—
00902098
—
NY
Enumeration date
12/04/2007
Last updated
04/27/2020
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