Provider Demographics
NPI:1396999066
Name:BARTOLINI, MAURIZIO (LMT)
Entity type:Individual
Prefix:MR
First Name:MAURIZIO
Middle Name:
Last Name:BARTOLINI
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 BELVOIR RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3602
Mailing Address - Country:US
Mailing Address - Phone:716-830-9521
Mailing Address - Fax:716-565-0333
Practice Address - Street 1:178 BELVOIR RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-3602
Practice Address - Country:US
Practice Address - Phone:716-830-9521
Practice Address - Fax:716-565-0333
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-07
Last Update Date:2008-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018791225700000X
VA0019006540225700000X
SC5170225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist