Individual
MICHAEL ROBERT NICOLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 UNION SQ E, SUITE 5P, NEW YORK, NY 10003-3314
(212) 844-8680
Mailing address
711 PRESIDENT ST, APT 3, BROOKLYN, NY 11215-1211
(917) 539-9212
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
275993
NY
Other
Enumeration date
06/20/2009
Last updated
04/17/2023
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