Healthcare Provider Details

I. General information

NPI: 1114863123
Provider Name (Legal Business Name): LAURA A FERRATELLA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 DEERLAND AVE
PAINTED POST NY
14870-9378
US

IV. Provider business mailing address

185 DEERLAND AVE
PAINTED POST NY
14870-9378
US

V. Phone/Fax

Practice location:
  • Phone: 607-329-0432
  • Fax:
Mailing address:
  • Phone: 607-329-0432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: