Organization
MALVERNE CHIROPRACTIC OFFICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD MICHELLI D.C. (OWNER)
(516) 599-3999
Entity
Organization
Contact information
Practice address
4 WEBER AVENUE, MALVERNE, NY 11565
(516) 599-3999
(516) 887-8106
Mailing address
4 WEBER AVENUE, MALVERNE, NY 11565
(516) 599-3999
(516) 887-8106
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X2805
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XFWPX1
MEDICARE PTAN#
NY
Enumeration date
05/03/2007
Last updated
02/24/2009
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