Individual
MICHAEL A. MECCA
Active
Individual
MICHAEL A. MECCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15183
NV
2085R0202X
Diagnostic Radiology Physician
232098
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02797762
—
NY
05
—
1992729727
—
NV
01
—
874T41
MEDICARE
NY
01
—
P01321079
RR MEDICARE DRS
NV
01
—
P01321081
RR MEDICARE DR
NV
Enumeration date
07/26/2006
Last updated
07/22/2014
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