ALLISON MANLY (NPI# 1386172062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386172062 |
| Entity Type | Individual |
| Full Name | ALLISON MANLY |
| Credential | DDS |
| Practice Address |
1000 Transit Way Brockport NY 14420 |
| Mailing Address |
301 Prospect Ave Syracuse NY 13203-1807 |
| Practice Telephone | 5856360555 |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
059844 | NY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 301 Prospect Ave, Syracuse, NY 132031807 | 3154485536 |
| Street Address |
1000 TRANSIT WAY |
| City | BROCKPORT |
| State | NY |
| Zip Code | 14420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194217471 | Brianna Lynn Bunch | Licensed Practical Nurse | 126 White Road, Brockport, NY 14420 | 2018-06-03 |
| 1174012785 | Penny Bowers | Massage Therapist | 27 Market Street, Upstairs, Brockport, NY 14420 | 2018-05-09 |
| 1235518143 | Erin B Chapman | Physical Medicine & Rehabilitation | 350 New Campus Drive, Brockport, NY 14420 | 2015-05-26 |
| 1972853653 | Theresa Fox Lehman | Specialist | 32 Mission Hill Drive, Brockport, NY 14420 | 2012-09-11 |
| 1689946303 | Beverly Whiteman | Registered Nurse | 40 Allen St., Brockport, NY 14420 | 2012-01-27 |
| 1316217425 | Julie Ann Knapp | Registered Nurse | 40 Allen Street, Brockport Central School District, Brockport, NY 14420 | 2012-01-05 |
| 1851678965 | Jennifer Anne Cohen | Registered Nurse | 188 Utica Street, Brockport, NY 14420 | 2011-11-03 |
| 1205088960 | Amy Maureen Hennessy | Obstetrics & Gynecology | 6668 Fourth Section Rd Ste 500, Brockport, NY 14420 | 2008-10-14 |
| 1053454884 | Nancy S Iafrati | Nurse Practitioner | Suny Brockport Student Health Center, 350 New Campus Drive, Brockport, NY 14420 | 2007-02-14 |
| 1649319401 | Wal-mart Stores, East, Lp | Technician/Technologist | 6265 Spencerport Rd, Brockport, NY 14420 | 2007-02-06 |
| Find all providers in zip 14420 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104932235 | Weinstein Dental Group, Pllc | Dentist | 375 West Ave, Brockport, NY 14420-1119 | 2006-08-22 |
| 1407215619 | Brockport Smiles | Dentist | 64 N Main St, Brockport, NY 14420-1649 | 2016-02-16 |
| 1962890608 | Katherine Ann Trawick | Dentist | 300 West Ave, Brockport, NY 14420-1118 | 2015-01-05 |
| 1457505612 | Athena Diamandis | Dentist | 300 West Ave, Brockport, NY 14420-1118 | 2008-11-13 |
| 1275759334 | Thomas Maxwell Thaney | Dentist | 64 N Main St, Brockport, NY 14420-1649 | 2007-04-17 |
| 1083778815 | Sol H Weinstein | Dentist | 375 West Ave, Brockport, NY 14420-1119 | 2006-12-19 |
| 1841354693 | Stephen Weinstein | Dentist | 375 West Ave, Brockport, NY 14420 | 2006-12-19 |
| 1750455721 | Daniel Hovsepian | Dentist | 300 West Ave, Brockport, NY 14420-1118 | 2006-11-20 |
| 1316038300 | Brian John Iannaccone | Dentist | 8 Union St, Brockport, NY 14420-1920 | 2006-09-27 |
| 1992730758 | William David Leicht | Dentist | 300 West Ave, Brockport, NY 14420-1118 | 2006-07-11 |
| Find all providers in BROCKPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.