Individual
MR. MICHELE NANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1461 ASTOR AVE, BRONX, NY 10469-5812
(718) 655-1060
(718) 655-1012
Mailing address
PO BOX 8463, PELHAM, NY 10803-8463
(718) 655-1060
(718) 655-1012
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
168492
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01008204
—
NY
Enumeration date
09/16/2006
Last updated
12/18/2018
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