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Mr. Michael Denicola
Orthotic Fitter in Staten Island, New York
NPI 1285035006

Michael Denicola is a Orthotic Fitter based in Staten Island, NY. Michael Denicola practices in Staten Island, NY. The NPI Number for Michael Denicola is 1285035006 and holds a License No. (New York).

The current practice location address for Michael Denicola is 3311 Hylan Blvd, Staten Island, NY and can be reached out via phone at 917-696-1573 and via fax at 888-283-3353.

Location: 3311 Hylan Blvd, Staten Island, NY, 10308-1881
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285035006
Provider Name
Michael Denicola
Credential
Provider Entity Type
Individual
Gender
Male
Address
3311 Hylan Blvd, Staten Island, NY, 10308-1881
Phone Number
917-696-1573
Fax Number
888-283-3353
Provider Enumeration Date
09/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3311 Hylan Blvd
City
Staten Island
State
New York
Zip
10306-3611
Phone Number
917-696-1573
Fax Number
888-283-3353
person
Provider Business Mailing Address Details
Address
3311 Hylan Blvd
City
Staten Island
State
New York
Zip
10306-3611
Phone Number
917-696-1573
Fax Number
888-283-3353
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
()
Definition
An individual trained in the management of fitting prefabricated orthoses.
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