Individual
DR. ROBERT A MIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
364 EDISON ST, STATEN ISLAND, NY 10306-3041
(718) 524-4112
(718) 524-4189
Mailing address
850 HOWARD AVENUE, APT 6H, STATEN ISLAND, NY 10301
(718) 981-6070
(718) 447-2818
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N002674
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00420493
—
NY
Enumeration date
11/20/2006
Last updated
09/30/2013
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