Individual
DR. MARCIANO I MICLAT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 WINDING BROOK DR, LARCHMONT, NY 10538-1018
(914) 636-8657
(914) 636-8427
Mailing address
1 WINDING BROOK DR, LARCHMONT, NY 10538-1018
(914) 636-8657
(914) 636-8427
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
125470
NY
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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