Individual
ANGELO DOMENIC MICHILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1610 WILLIAMSBRIDGE RD, BRONX, NY 10461-6289
(718) 409-6400
(718) 823-9119
Mailing address
1610 WILLIAMSBRIDGE RD, BRONX, NY 10461-6289
(718) 409-6400
(718) 823-9119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
193504
NY
Other
Enumeration date
08/31/2006
Last updated
01/06/2017
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