CHARLES KENNETH MICELI

MASSAPEQUA, NY
NPI1528057353
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0011X Internal Medicine, Interventional Cardiology
(Licence: NY  130596)
Enumeration Date2005-10-14
Last Update Date2007-09-28
Business Address
Prof. CHARLES KENNETH MICELI MD
585 BROADWAY
MASSAPEQUA, NY 11758-5023
Phone number: 516-797-1234
Mailing Address
Prof. CHARLES KENNETH MICELI MD
585 BROADWAY BROADWAY INTERNAL MEDICINE ASSOCIATES P C
MASSAPEQUA, NY 11758-5023
Phone number: 516-797-1234
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