Broadway Internal Medicine Associates P.c.

NPI #1952446189 in Massapequa, New York

Provider Information

NPI Number
1952446189
Entity Type
Organization
Organization Name
Broadway Internal Medicine Associates P.c.
Primary Specialty
Internal Medicine
Enumeration Date
Feb 21, 2007
Last Updated
Sep 26, 2007

Practice Location

Address
585 BROADWAY
ZIP Code
11758
Phone
(516) 797-1234

Authorized Official

Name
DR. CHARLES K MICELI, MD
Title
PRES
Phone
(516) 797-1234

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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