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NPI Code Detail

MEDICARE: MICHAEL STEPHEN FERRI O.D.

MEDICARE: MICHAEL STEPHEN FERRI O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristTUV007460-1NY

General Provider Information

NPI Number : 1245465749
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL STEPHEN FERRI O.D.
Provider Business Mailing Address
First Line : 119-15 ATLANTIC AVE
Second Line :
City : RICHMOND HILL
State : NY
Zip : 11418-3216
Country : US
Telephone Number : 718-805-0700
Fax Number :
Provider Business Practice Location Address
First Line : 119-15 ATLANTIC AVE
Second Line :
City : RICHMOND HILL
State : NY
Zip : 11418-3216
Country : US
Telephone Number : 718-805-0700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2009
Last Update Date : 09/14/2012

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