Individual
MR. JOHN MICHALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. ED
Contact information
Practice address
2 GOTHAM CT, MOUNT SINAI, NY 11766-2354
(631) 790-2500
(718) 739-5137
Mailing address
2 GOTHAM CT, MOUNT SINAI, NY 11766-2354
(631) 790-2500
(718) 739-5137
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
089548851
NY
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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