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Individual

MICHAEL F. LAPORTE II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
301 N WASHINGTON ST, SUITE 2470, HERKIMER, NY 13350-1216
(315) 867-1465
(315) 867-1469
Mailing address
301 N WASHINGTON ST, SUITE 2470, HERKIMER, NY 13350-1216
(315) 867-1465
(315) 867-1469

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4795
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4795
LICENSE
NY
Enumeration date
11/09/2007
Last updated
11/09/2007
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