Individual
MR. ANDREW MANISCALCO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 WELWYN CIR, BUFFALO, NY 14223-1723
(716) 831-9585
Mailing address
50 WELWYN, BUFFALO, NY 14223
(716) 831-9585
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0093631
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093631
OCCUPATIONAL THERAPY
—
Enumeration date
02/28/2011
Last updated
02/28/2011
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