Santa Maria, Michael Phillip

Santa Maria, Michael Phillip is an individual health care provider with primary practice located at 1825 Maple Rd Ste 200 , Williamsville NY 14221-2779. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Santa Maria, Michael Phillip can be contacted via phone (716) 687-8748.

Contact Information

Primary practice address
1825 Maple Rd Ste 200 Williamsville NY 14221-2779
Phone: (716) 687-8748
Fax: (716) 687-8753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 014396 New York

Profile Details

NPI number 1356440614
LBN Legal business name Santa Maria, Michael Phillip
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jun 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356440614 NPPES
New York Other 00025453102 UNIVERA PROVIDER NUMBER
New York Other 492457 UNIVERA PROVIDER NUMBER
New York Other 000526368004 UNIVERA PROVIDER NUMBER
New York MEDICAID 02186592 UNIVERA PROVIDER NUMBER
New York Other 9711291 UNIVERA PROVIDER NUMBER

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