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General NPI Number Information
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NPI Number | 1013691500
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Entity Type | Individual
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Provider Name | MICHAEL JOSEPH FERRINO
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Gender | Male
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 141 CHAUTAUQUA AVE
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City | LAKEWOOD
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State | NY
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Zip | 14750-1278
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Country | US
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Telephone | 716-763-7665
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Fax |
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Provider Business Mailing Address
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Address Line | 4105 S ROUTE 62
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City | KENNEDY
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State | NY
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Zip | 14747-9784
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Country | US
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Telephone | 716-498-8101
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 025612
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License Number State | NY
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