Provider Demographics
NPI:1467856278
Name:FERRANTE, ERIN (LMT)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:FERRANTE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:O'SULLIVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1914 COLVIN BLVD
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-6973
Mailing Address - Country:US
Mailing Address - Phone:716-597-1286
Mailing Address - Fax:
Practice Address - Street 1:1914 COLVIN BLVD
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-6973
Practice Address - Country:US
Practice Address - Phone:716-597-1286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-22
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025734-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY12552177OtherBLUE CROSS AND BLUE SHIELD OF WESTERN NY