Healthcare Provider Details

I. General information

NPI: 1033398250
Provider Name (Legal Business Name): MARGARET ANN MARRANO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2007
Last Update Date: 10/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 NIAGARA ST DRUG & ALCHOHOL ABUSE SERVICES PROGRAM
BUFFALO NY
14213-2116
US

IV. Provider business mailing address

254 FRANKLIN ST LAKE SHORE BEHAVIORAL HEALTH
BUFFALO NY
14202-1954
US

V. Phone/Fax

Practice location:
  • Phone: 716-883-5344
  • Fax: 716-884-1758
Mailing address:
  • Phone: 716-842-0440
  • Fax: 716-842-4069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number370765-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: