MR. Joseph T Miccoli, RPA-C

NPI #1598997488 in Lawrence, New York

Provider Information

NPI Number
1598997488
Entity Type
Individual
Name
MR. Joseph T Miccoli, RPA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
RPA-C
Enumeration Date
Aug 11, 2009
Last Updated
Aug 5, 2016

Practice Location

Address
215 ROCKAWAY TPKE
ZIP Code
11559-1216
Phone
(516) 374-5024

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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