MEDICARE: MR. JAMES B CARRANTI LMT

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	172M00000X	Mechanotherapist	013434	NY

General Provider Information

NPI Number	:	1053588673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES B CARRANTI LMT

Provider Business Mailing Address
First Line	:	12 BRADLEY ST
Second Line	:
City	:	MARCELLUS
State	:	NY
Zip	:	13108-1306
Country	:	US
Telephone Number	:	315-427-8423
Fax Number	:

Provider Business Practice Location Address
First Line	:	1416 EAST GENESEE STREET
Second Line	:
City	:	SKANEATELES
State	:	NY
Zip	:	13152
Country	:	US
Telephone Number	:	315-427-8423
Fax Number	:

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

Provider Enumeration Date	:	05/13/2008
Last Update Date	:	05/13/2008

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