Physician Compare National (NPI:1841551777)

HEALTHCARE PROVIDER: ATILANO MANUELITO MENDOZA MANALESE RPT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1841551777
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2860778248
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170418000078
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MANALESE
	Individual professional last name
Provider First Name	ATILANO MANUELITO
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	18763 FARMINGTON RD
	Group Practice or individual's line 1 address
City	LIVONIA
	Group Practice or individual's city
State	MI
	Group Practice or individual's state
Zip Code	481523262
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y