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NPI Code Detail

MEDICARE: MICHELLE AUTIERO

MEDICARE: MICHELLE AUTIERO
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
1174400000XSpecialist462068101NY
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1093070997
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE AUTIERO
Provider Business Mailing Address
First Line : 1133 WESTCHESTER AVE STE N-230
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10604-3522
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1133 WESTCHESTER AVE STE N-230
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10604-3522
Country : US
Telephone Number : 914-576-5292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2012
Last Update Date : 09/23/2023

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Directions to “ MICHELLE AUTIERO ” Practice Location

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