Michael W. Elice Md, Pllc

NPI #1649678780 in Woodbury, New York

Provider Information

NPI Number: 1649678780
Entity Type: Organization
Organization Name: Michael W. Elice Md, Pllc
Primary Specialty: Allergy & Immunology - Allergy
Enumeration Date: Dec 5, 2014
Last Updated: Dec 5, 2014

Practice Location

Address: 80 CROSSWAYS PARK DR
Address 2: SUITE 200
City: Woodbury
State: New York
ZIP Code: 11797-2047
Phone: (516) 802-5028

Authorized Official

Name: DR. MICHAEL W. ELICE, MD
Title: MEDICAL DIRECTOR
Phone: (506) 802-5028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology - Allergy — Allergy	207KA0200X	Primary

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