Individual
MICHAEL LASTORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
194 OLD ENGLISH DR, ROCHESTER, NY 14616-1952
(585) 808-5370
Mailing address
194 OLD ENGLISH DR, ROCHESTER, NY 14616-1952
(585) 808-5370
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000168
NY
Other
Enumeration date
05/19/2010
Last updated
07/14/2020
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