| Main Gastroenterology. P.c. | |
|
8201 Main St. Ste 4 Williamsville NY 14221 | |
| (716) 632-3577 | |
| (716) 631-8275 |
| Full Name | Main Gastroenterology. P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8201 Main St. Ste 4, Williamsville, New York |
| Authorized Official Name and Position | Anonino Manonne (PHYSICIAN) |
| Authorized Official Contact | 7166323577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Gastroenterology. P.c. 6637 Main St Williamsville NY 14221-5974 Ph: (716) 632-3576 | Main Gastroenterology. P.c. 8201 Main St. Ste 4 Williamsville NY 14221 Ph: (716) 632-3577 |
| NPI Number | 1275715005 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 04/27/2020 |
| Medicare PECOS PAC ID | 5597846527 |
|---|---|
| Medicare Enrollment ID | O20080116000394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275715005 | NPI | - | NPPES |
| 00801969 | Medicaid | NY | |
| 00902098 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 159226-1 (New York) | Primary |
| Provider Name | Antonino Mannone |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821073388 PECOS PAC ID: 0345227880 Enrollment ID: I20080116000386 |
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