National Provider Identifier
Michael Simon Maisano, ATC
Michael Simon Maisano, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Amherst, NY and a listed phone number of (716) 907-8242.
Profile Overview
- NPI
- 1396381489
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- November 23, 2019
- Last Updated
- November 23, 2019
Practice Location
- 1901 Sweet Home RD
- Amherst, NY 14228-5312
Phone: (716) 907-8242
Mailing Address
- 81 Meadow Lea Dr
- Amherst, NY 14226-2830
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1396381489
- Entity Type
- Individual
- Last Name
- Maisano
- First Name
- Michael
- Middle Name
- Simon
- Credential
- ATC
- Mailing Street Address
- 81 Meadow Lea Dr
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-2830
- Mailing Country
- US
- Mailing Phone
- (716) 907-8242
- Practice Street Address
- 1901 Sweet Home RD
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14228-5312
- Practice Country
- US
- Practice Phone
- (716) 907-8242
- Enumeration Date
- November 23, 2019
- Last Updated
- November 23, 2019
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)