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Individual
DR. RONALD LEWIS MICHELINI
Active
Individual
DR. RONALD LEWIS MICHELINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
8012
NY
103TC0700X
Clinical Psychologist
Primary
008012-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000512621001
BLUE CROSS/BLUE SHIELD
NY
01
—
620003604
MEDICARE RAILROAD
NY
Enumeration date
10/03/2006
Last updated
01/23/2009
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