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
- City
- Massapequa
- State
- New York
- 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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