National Provider Identifier
Michelle A Polvino, MS;ED.
Michelle A Polvino, MS;ED. is listed in the NPPES registry with a primary specialty of Developmental Therapist in Fredonia, NY and a listed phone number of (716) 673-5423.
Profile Overview
- NPI
- 1992018501
- Provider Type
- Individual
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- July 23, 2010
- Last Updated
- July 23, 2010
Practice Location
- 4229 Osborne RD
- Fredonia, NY 14063-9527
Phone: (716) 673-5423
Specialties
- Developmental Therapist (222Q00000X)
Full Record
- NPI
- 1992018501
- Entity Type
- Individual
- Last Name
- Polvino
- First Name
- Michelle
- Middle Name
- A
- Credential
- MS;ED.
- Mailing Street Address
- 4229 Osborne RD
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-9527
- Mailing Country
- US
- Practice Street Address
- 4229 Osborne RD
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-9527
- Practice Country
- US
- Practice Phone
- (716) 673-5423
- Enumeration Date
- July 23, 2010
- Last Updated
- July 23, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Developmental Therapist (222Q00000X)