Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elias Liborio Manzella, PA-C

Individual provider Medical Physician Assistant · NPI 1235681404

Elias Liborio Manzella, PA-C is a Physician Assistant in Buffalo, New York. Qualified in 2017, 9 years ago. Practices with Western New York Immediate Medical Care LLC, a 19-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2228 Delaware Ave Ste 200
Buffalo, NY 14216-2618
Phone: (716) 874-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1235681404
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 3, 2016
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Western New York Immediate Medical Care Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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