Organization
ISLAND MEDICAL VIBRA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL R FERRARA DO (PRESIDENT)
(631) 514-7600
Entity
Organization
Contact information
Practice address
8049 SOUTH AVE, BOARDMAN, OH 44512-6154
(330) 726-5000
Mailing address
PO BOX 774798, CLEVELAND, OH 44194-4798
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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