Individual
MR. MICHAEL A CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
584 E MAIN ST, SPRINGVILLE, NY 14141-1437
(716) 685-2167
(718) 395-1571
Mailing address
PO BOX 21, FRANKLINVILLE, NY 14737-0021
(716) 685-6730
(718) 395-1571
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400736
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02359328
—
NY
01
—
IA1012
MEDICARE PTAN
—
Enumeration date
05/09/2006
Last updated
05/04/2024
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