Individual
ANTONELLA A MICCARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
290 CITY ISLAND AVE, BRONX, NY 10464-1433
(718) 885-3053
(718) 885-2632
Mailing address
86 SOMERSET RD, HOPEWELL JUNCTION, NY 12533-3233
(845) 223-3212
(718) 885-2632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045253-1
NY
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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