Individual
MICHELLE FATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 ISLAND PASS, GRAND ISLAND, NY 14072-2255
(716) 614-2040
Mailing address
307 ISLAND PASS, GRAND ISLAND, NY 14072-2255
(716) 614-2040
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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