JACK MICELI

STATEN ISLAND, NY
NPI1851458483
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  39067)
Enumeration Date2007-01-02
Last Update Date2010-02-23
Business Address
Mr. JACK MICELI DDS
255 MASON AVE.
STATEN ISLAND, NY 10305-3416
Phone number: 718-987-6543
Mailing Address
Mr. JACK MICELI DDS
255 MASON AVE.
STATEN ISLAND, NY 10305-3416
Phone number: 718-987-6543
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