Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Mary E Manganaro, PA

Individual provider Physician Assistant · NPI 1043598030

Mrs. Mary E Manganaro, PA is a Physician Assistant in Buffalo, New York. Qualified in 2010, 16 years ago. Practices with General Physician Sub II PLLC, a 12-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

100 High St # C3
Buffalo, NY 14203-1126
Phone: (716) 859-7600
Fax: (716) 859-2885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 015920-1 (NY)

Record details

NPI number1043598030
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 26, 2011
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice General Physician Sub Ii Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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