Organization
PETER J MICELI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER JOSEPH MICELI M.D. (PRESIDENT)
(718) 982-0480
Entity
Organization
Contact information
Practice address
1550 RICHMOND AVE, STATEN ISLAND, NY 10314-1510
(718) 982-0480
Mailing address
1550 RICHMOND AVE, STATEN ISLAND, NY 10314-1510
(718) 982-0480
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
10/12/2012
Last updated
11/20/2012
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