Individual
MR. MICHAEL COLIN SISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT-BC
Contact information
Practice address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 425-1004
(315) 422-4855
Mailing address
1045 JAMES ST, SYRACUSE, NY 13203-2730
(315) 425-1004
(315) 422-4855
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
15831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15831
CERTIFICATION BOARD OF MUSIC THERAPY
NY
Enumeration date
01/21/2021
Last updated
01/21/2021
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