Matthew Ryan Di Micelli, RN

NPI #1043019938 in Corona, New York

Provider Information

NPI Number: 1043019938
Entity Type: Individual
Name: Matthew Ryan Di Micelli, RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Mar 12, 2025
Last Updated: Mar 12, 2025

Practice Location

Address: 10214 RADCLIFF AVE APT 2F
City: Corona
State: New York
ZIP Code: 11368-5074
Phone: (516) 382-2699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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