Doctor Name: | MICHAEL ANDREW CIAFFONE |
NPI Number: | 1043692981 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | N.P. |
License Number: | F307368 |
Business Practice Address: | 407 Gidney Ave Suite B Newburgh, NY - 125503741 |
Business Phone Number: | 8455617075 |
Business Fax Number: | |
Mailing Address: | 407 Gidney Ave, Suite B NEWBURGH |
State: | NY |
Postal Code: | 125503741 |
Phone Number: | 8455617075 |
Fax Number: | |
NPI Enumeration Date: | 06/28/2015 |
NPI Last Update Date: | 06/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | F307368 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |