| | Physician Last Name: | Manzella |
| | Physician First Name: | Michael |
| | Physician Middle Name: | Patrick |
| | Address: | License Redacted |
| | License Number: | 009499 |
| | License Type: | PA |
| | Year of Birth: |
1978
|
| | Effective Date: | 10/09/2008 |
| | Action Description for DOH Webpage: | Temporary surrender of the physician's New York State medical license issued pursuant to New York State Public Health Law Section 230.13. |
| | Misconduct Description for DOH Webpage: | This action is not disciplinary in nature. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
|
