Organization
MICHAEL W. ELICE MD, PLLC
Active
Organization
MICHAEL W. ELICE MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W. ELICE MD (MEDICAL DIRECTOR)
(506) 802-5028
Entity
Organization
Contact information
Practice address
80 CROSSWAYS PARK DR, SUITE 200, WOODBURY, NY 11797-2047
(516) 802-5028
(516) 802-5027
Mailing address
80 CROSSWAYS PARK DR, SUITE 200, WOODBURY, NY 11797-2047
(516) 802-5028
(516) 802-5027
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
1325791
NY
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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