Individual
PAUL JOSEPH MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
1000 SOUTH AVE, BOX 58, ROCHESTER, NY 14620-2733
(585) 341-6776
(585) 341-8305
Mailing address
1000 SOUTH AVE, BOX 58, ROCHESTER, NY 14620-2733
(585) 341-6776
(585) 341-8305
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002881
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112354AZ
PREFERRED CARE
—
01
—
P019002881
EXCELLUS
—
Enumeration date
06/30/2006
Last updated
09/29/2016
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