Individual
LESTER D MANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1656 CHAMPLIN AVE, DEPARTMENT OF PATHOLOGY, UTICA, NY 13502-4830
(315) 624-8270
Mailing address
1656 CHAMPLIN AVE, DEPARTMENT OF PATHOLOGY, UTICA, NY 13502-4830
(315) 624-8270
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
178544
NY
Other
Enumeration date
11/20/2006
Last updated
05/02/2011
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