MEDICARE: DR. MICHAEL SCOTT FIORINI PSYD

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
1	103TC0700X	Clinical Psychologist	026551	NY

General Provider Information

NPI Number	:	1538684931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL SCOTT FIORINI PSYD

Provider Business Mailing Address
First Line	:	478 KENT AVE APT 506B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11249-3569
Country	:	US
Telephone Number	:	646-543-2707
Fax Number	:

Provider Business Practice Location Address
First Line	:	478 KENT AVE APT 506B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11249-3569
Country	:	US
Telephone Number	:	646-543-2707
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2017
Last Update Date	:	12/12/2025

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