Individual
MR. MICHAEL ANTHONY CENTANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
72 HINCHEY RD, ROCHESTER, NY 14624-2930
(585) 627-1777
Mailing address
45 RUTGERS ST APT 2, ROCHESTER, NY 14607-2851
(585) 514-3760
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
7118
NY
Other
Enumeration date
06/07/2023
Last updated
11/20/2023
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