Organization
ROBERT MUCCIOLO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L. MUCCIOLO MD (PRESIDENT)
(516) 541-5500
Entity
Organization
Contact information
Practice address
20 HICKSVILLE RD, SUITE 3, MASSAPEQUA, NY 11758-5819
(516) 541-5500
Mailing address
20 HICKSVILLE RD, SUITE 3, MASSAPEQUA, NY 11758-5819
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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