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General NPI Number Information
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NPI Number | 1366619736
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Entity Type | Individual
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Provider Name | JUSTIN MICHAEL FERRARA MD
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Gender | Male
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 5 CARE LN
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-8623
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Country | US
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Telephone | 518-489-2663
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Fax | 518-689-3881
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Provider Business Mailing Address
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Address Line | 121 EVERETT RD
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City | ALBANY
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State | NY
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Zip | 12205-1474
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Country | US
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Telephone | 518-489-2663
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Fax | 518-689-3881
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD12621
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | MD12621
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 237193
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License Number State | NY
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