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Individual
JOSEPH MICHALISIN
Active
Individual
JOSEPH MICHALISIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
323898
NY
Other
Enumeration date
02/06/2020
Last updated
10/02/2024
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