Provider Demographics
NPI:1336131440
Name:MANASSE, HOWARD S (MD)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:S
Last Name:MANASSE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 W 24TH ST
Mailing Address - Street 2:STE 401
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16502-2665
Mailing Address - Country:US
Mailing Address - Phone:814-455-7591
Mailing Address - Fax:814-454-1467
Practice Address - Street 1:311 W 24TH ST
Practice Address - Street 2:STE 401
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16502-2665
Practice Address - Country:US
Practice Address - Phone:814-455-7591
Practice Address - Fax:814-454-1467
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025102E207W00000X
OH35051317M207W00000X
NY1311371207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0739350001OtherDMERC
PA130989OtherBLUE SHIELD
PA4079161OtherHEALTHAMERICA
OHMA4061651Medicaid
PA00523971OtherCOMMUNITY BLUE NY
PA208234OtherUPMC
PA005243973OtherBC/BS OF WNY
PA008054030001Medicaid
PA586325OtherAETNA
PAMD025102EOtherPA NUMBER
NY1311371OtherNY NUMBER
OH35051317MOtherOH NUMBER
PA0808277OtherINDEPENDANT HEALTH
PA33303OtherAAO
NYCC8548Medicaid
PA00010268201OtherUNIVERA/SENIOR CHOICE
PA180006508OtherGBA
PA180006508OtherGBA
PAMD025102EOtherPA NUMBER
PA4079161OtherHEALTHAMERICA