MEDICARE: MICHAEL STAINO JR.

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	104100000X	Social Worker	077113-1	NY
2	1041C0700X	Clinical Social Worker	088641	NY

General Provider Information

NPI Number	:	1578921136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL STAINO JR.

Provider Business Mailing Address
First Line	:	100 KINGS HWY S
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14617-5504
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	224 ALEXANDER ST
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14607-4000
Country	:	US
Telephone Number	:	585-922-7770
Fax Number	:	585-922-7020

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

Provider Enumeration Date	:	02/10/2016
Last Update Date	:	03/19/2026

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Directions to “ MICHAEL STAINO JR. ” Practice Location

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