Organization
MICHAEL PICCARELLI DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PICCARELLI (SELF PROPRIETER)
(718) 273-0123
Entity
Organization
Contact information
Practice address
1478 VICTORY BLVD, STATEN ISLAND, NY 10301-3915
(718) 273-0123
Mailing address
1478 VICTORY BLVD, STATEN ISLAND, NY 10301-3915
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N006042
NY
Other
Enumeration date
02/06/2006
Last updated
01/24/2012
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