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Prof. Charles Kenneth Miceli, MD
Interventional Cardiology Physician in Massapequa, New York
NPI 1528057353

Charles Kenneth Miceli is a Interventional Cardiology Physician based in Massapequa, NY and is specialized in Interventional Cardiology. Charles Kenneth Miceli practices in Massapequa, NY and has the professional credentials of MD. The NPI Number for Charles Kenneth Miceli is 1528057353 and holds a License No. 130596 (New York).

The current practice location address for Charles Kenneth Miceli is 585 Broadway, Massapequa, NY and can be reached out via phone at 516-797-1234 and via fax at 516-797-1932.

Location: 585 Broadway, Massapequa, NY, 11758-5023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528057353
Provider Name
Charles Kenneth Miceli
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
585 Broadway, Massapequa, NY, 11758-5023
Phone Number
516-797-1234
Fax Number
516-797-1932
Provider Enumeration Date
10/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00409210 05 NY
institution
Provider Business Practice Location Address Details
Address
585 Broadway
City
Massapequa
State
New York
Zip
11758-5023
Phone Number
516-797-1234
Fax Number
516-797-1932
person
Provider Business Mailing Address Details
Address
585 Broadway
City
Massapequa
State
New York
Zip
11758-5023
Phone Number
516-797-1234
Fax Number
516-797-1932
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
130596 (New York)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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