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1407351182
MICHAEL JOSEPH MICHNO
PORT JEFFERSON, NY
NPI
1407351182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-03-26
Last Update Date
2018-03-26
Business Address
Dr. MICHAEL JOSEPH MICHNO MD
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-686-2517
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Mailing Address
Dr. MICHAEL JOSEPH MICHNO MD
141 PLEASANT ST # 1
BOSTON, MA 02125-1525
Phone number:
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