Individual
MATTHEW MIKALONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2337 BIRCH ST, MERRICK, NY 11566-2842
(516) 477-5556
Mailing address
2337 BIRCH ST, MERRICK, NY 11566-2842
(516) 477-5556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
753790-01
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
156043
NY
Other
Enumeration date
07/02/2025
Last updated
08/29/2025
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