Individual
MR. VINCENT FERDINAND MICCIO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
38 6TH AVE FL 3, BROOKLYN, NY 11217-4350
(718) 362-3225
Mailing address
162 16TH ST APT 8A, BROOKLYN, NY 11215-8711
(781) 439-1979
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
285124
NY
Other
Enumeration date
04/04/2012
Last updated
04/13/2024
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