Provider Demographics
NPI:1144738949
Name:MANZO, FRANCIS MICHAEL
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:MICHAEL
Last Name:MANZO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4612 RESERVOIR RD
Mailing Address - Street 2:
Mailing Address - City:GENESEO
Mailing Address - State:NY
Mailing Address - Zip Code:14454-9760
Mailing Address - Country:US
Mailing Address - Phone:585-737-1646
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF ROCHESTER 601 ELMWOOD AVE BOX SURG
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642
Practice Address - Country:US
Practice Address - Phone:585-275-3802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-15
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY686256163W00000X
NY4313212086S0127X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery