Individual
DR. MICHAEL A ERCOLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
250 HIGBIE LN, WEST ISLIP, NY 11795-2828
(631) 422-0404
(631) 422-0573
Mailing address
250 HIGBIE LN, WEST ISLIP, NY 11795-2828
(631) 422-0404
(631) 422-0573
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X2104
NY
Other
Enumeration date
08/18/2006
Last updated
07/09/2007
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