Individual
DR. JOHN JOSEPH MICHALISIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 UNION SQ E, SUITE 2Q/2R, NEW YORK, NY 10003-3314
(212) 844-8930
Mailing address
10 UNION SQ E, SUITE 2Q/2R, NEW YORK, NY 10003-3314
(212) 844-8930
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
267338
NY
208VP0014X
Interventional Pain Medicine Physician
267338
NY
Other
Enumeration date
07/18/2010
Last updated
05/10/2021
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