Individual
MR. MICHAEL DENICOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3311 HYLAN BLVD, STATEN ISLAND, NY 10306-3611
(917) 696-1573
(888) 283-3353
Mailing address
36 ASHWOOD CT, STATEN ISLAND, NY 10308-1881
(917) 696-1573
(888) 283-3353
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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