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Mrs. Donna Miceli, LMT
Medical Specialty Clinic/Center in Prt Jefferson, New York
NPI 1871290205

Donna Miceli is a Medical Specialty Clinic/Center based in Farmingville, NY and is specialized in Medical Specialty. Donna Miceli practices in Prt Jefferson, NY and has the professional credentials of LMT. The NPI Number for Donna Miceli is 1871290205 and holds a License No. (New York).

The current practice location address for Donna Miceli is 640 Belle Terre Rd Bldg J, Prt Jefferson, NY and can be reached out via phone at 631-828-5361.

Location: 640 Belle Terre Rd Bldg J, Prt Jefferson, NY, 11738-1147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871290205
Provider Name
Donna Miceli
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
640 Belle Terre Rd Bldg J, Prt Jefferson, NY, 11738-1147
Phone Number
631-828-5361
Fax Number
Provider Enumeration Date
02/15/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
261Q00000X 01 261Q00000X
institution
Provider Business Practice Location Address Details
Address
640 Belle Terre Rd Bldg J
City
Prt Jefferson
State
New York
Zip
11777-1936
Phone Number
631-828-5361
Fax Number
person
Provider Business Mailing Address Details
Address
640 Belle Terre Rd Bldg J
City
Prt Jefferson
State
New York
Zip
11777-1936
Phone Number
631-828-5361
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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