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Individual

MICHAEL DAVID NADATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.P.O.

Contact information

Practice address
214 E SUNRISE HWY, VALLEY STREAM, NY 11581-1315
(516) 239-0990
(516) 239-6555
Mailing address
214 E SUNRISE HWY, VALLEY STREAM, NY 11581-1315
(516) 239-0990
(516) 239-6555

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02595480
NY
Enumeration date
09/28/2006
Last updated
03/12/2018
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