Individual
DR. JOHN MICERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
210 E 63RD ST APT 1A, NEW YORK, NY 10021-7678
(212) 832-9130
(212) 758-2589
Mailing address
210 EAST 63RD STREET, #1A, NEW YORK, NY 10021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042298
NY
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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