Individual
MICHAEL A PERSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7650 VAN BUREN RD, BALDWINSVILLE, NY 13027-9712
(315) 638-6106
Mailing address
2004 IRENE DR, BALDWINSVILLE, NY 13027-9008
(315) 263-6151
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
494519
NY
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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