Individual
MR. ROBERT M. MANENKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
21 S ZELLERS ST, MC CLURE, PA 17841-9722
(570) 415-0510
(570) 415-0511
Mailing address
21 S ZELLERS ST, PO BOX 38, MC CLURE, PA 17841-9722
(570) 415-0510
(570) 415-0510
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MA0017772L
PA
2084P0800X
Psychiatry Physician
Primary
OA 000333L
PA
Other
Enumeration date
03/15/2010
Last updated
11/18/2016
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