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Individual

ROBERT M MICHAELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
33 MITCHELL AVE, STE 102, BINGHAMTON, NY 13903-1674
(607) 762-3281
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2558
(607) 770-0025
(607) 729-3982

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
156446-1
NY
207RR0500X
Rheumatology Physician
Primary
1564461
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00399037
NY
Enumeration date
09/29/2005
Last updated
04/07/2022
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