Individual
JOSEPH MICELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2000
Mailing address
1 ALEXANDRA DR, MIDDLE ISLAND, NY 11953-3004
(631) 377-2652
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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