Organization
MICHAEL J NEELY DO, PLLC
Active
Organization
MICHAEL J NEELY DO, PLLC
Active
Other names
NY SportsMed and Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM A BANKS (CEO)
(212) 750-1110
Entity
Organization
Contact information
Practice address
853 BROADWAY, SUITE 200, NEW YORK, NY 10003-4703
(212) 750-1110
(212) 750-1140
Mailing address
853 BROADWAY, SUITE 200, NEW YORK, NY 10003-4703
(212) 750-1110
(212) 750-1140
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/28/2010
Last updated
02/07/2011
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