Susan J Manzella

Primary specialty

SpecialistTaxonomy code 174400000X

License

011164 Issued in NY

Practice address

959 Beach Rd
Angola, NY 14006-9702

Phone

(716) 926-3704

NPI assigned

Jan 18, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1174709299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 HOLIDAY DR",
            "city": "BOSTON",
            "state": "NY",
            "postal_code": "140259605",
            "telephone_number": "716-941-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 BEACH RD",
            "city": "ANGOLA",
            "state": "NY",
            "postal_code": "140069702",
            "telephone_number": "716-926-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZELLA",
        "first_name": "SUSAN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "011164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie Kilian
• Carley Kless, OTR/L
• Lakeside Medical Care PLLC
• Caitlin E Mann Pauszek
• Lisa N Mann, LMHC, CASAC, MSED
• Matthew Martin, OCCUPATIONAL THERAPY
• Amanda Martinez
• Sean Kevin McGarrity, PT DPT
• Joseph J Mecca, DDS
• Kaitlin Erin Melquist, SLP

• All providers in Angola, NY
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.