Individual
ANDREA MANYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2465 SHERIDAN DR, TONAWANDA, NY 14150-9407
(716) 835-9800
(716) 835-9888
Mailing address
2465 SHERIDAN DR, TONAWANDA, NY 14150-9407
(716) 835-9800
(716) 835-9888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
160929
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01033247
—
NY
Enumeration date
07/17/2006
Last updated
06/13/2012
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