Individual
DR. NICHOLAS MICELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
450 WAVERLY AVE, SUITE 9, PATCHOGUE, NY 11772-1555
(631) 289-1151
(631) 289-1159
Mailing address
450 WAVERLY AVE, SUITE 9, PATCHOGUE, NY 11772-1555
(631) 289-1151
(631) 289-1159
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X003364-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C003364-9
WORKER'S COMPENSATON
NY
Enumeration date
10/25/2006
Last updated
07/08/2007
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