NPI 1285035006

Michael Denicola

Practitioner Orthotic Fitter Staten Island, NY

Practice location

Address: 3311 Hylan Blvd, Staten Island, NY 10306-3611
Phone: (917) 696-1573
Fax: (888) 283-3353
Mailing address: 36 Ashwood CT, Staten Island, NY 10308-1881

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X

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Registry record

NPI: 1285035006
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Sep 2014
Record last updated: 11 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.