Provider Demographics
NPI:1114029402
Name:DIMANLIG-MANUEL, PATRICIA (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:DIMANLIG-MANUEL
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 FRANKLIN ST
Mailing Address - Street 2:APT. 507
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14604-1502
Mailing Address - Country:US
Mailing Address - Phone:646-522-7221
Mailing Address - Fax:585-276-0292
Practice Address - Street 1:601 ELMWOOD AVE
Practice Address - Street 2:BOX 659
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-273-3954
Practice Address - Fax:585-276-0292
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program