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Individual
DR. MICHAEL R CELLINO
Active
Individual
DR. MICHAEL R CELLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1423257-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000100279
UNIVERA
NY
01
—
000508528003
HEALTH NOW
NY
05
—
01139844
—
NY
01
—
0402629
IHA
NY
01
—
060011234
RR MEDICARE
NY
01
—
143257-4W
WORKERS COMPENSATION
NY
01
—
161000580
EMPIRE
NY
Enumeration date
04/22/2006
Last updated
06/22/2016
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