Individual
DR. MICHAEL OCCIDENTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 E 41ST ST FL 25, NEW YORK, NY 10017-6739
(212) 263-7250
(212) 263-1683
Mailing address
222 E 41ST ST FL 25, NEW YORK, NY 10017-6739
(212) 263-7250
(212) 263-1683
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
320767
NY
207ZD0900X
Dermatopathology (Pathology) Physician
320767
NY
Other
Enumeration date
04/10/2019
Last updated
11/22/2024
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