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NPI Code Detail

MEDICARE: MS. MICHELLE MARIE MANIACE FNP

MEDICARE: MS. MICHELLE MARIE MANIACE FNP
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
1363LF0000XFamily Nurse Practitioner33337594NY

General Provider Information

NPI Number : 1437493186
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE MARIE MANIACE FNP
Provider Business Mailing Address
First Line : 16 BANK ST
Second Line :
City : BATAVIA
State : NY
Zip : 14020-2250
Country : US
Telephone Number : 585-344-4800
Fax Number :
Provider Business Practice Location Address
First Line : 16 BANK ST
Second Line :
City : BATAVIA
State : NY
Zip : 14020-2250
Country : US
Telephone Number : 585-344-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2012
Last Update Date : 11/19/2012

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