Jack Miceli is a General Practice in Staten Island, New York. Jack Miceli practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack Miceli is 1851458483. The last update date is 2010-02-23.
Jack Miceli's current location address is 255 Mason Ave., Staten Island, New York. You can contact this provider via phone number 7189876543 and fax number 7189876542. The mailing address for Jack Miceli is 255 Mason Ave., Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Miceli |
|---|---|
| Address | 255 Mason Ave., Staten Island, New York |
| Phone Number | 7189876543 |
| Fax Number | 7189876542 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1851458483 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2010-02-23 |
Provider Mailing Address Detail
| Address | 255 Mason Ave. |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103053416 |
| Phone Number | 7189876543 |
| Fax Number | 7189876542 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 39067 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Jack Miceli by the Centers for Medicare & Medicaid Services?
The Jack Miceli has been assigned the NPI (National Provider Identifier) 1851458483 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jack Miceli?
The Jack Miceli is situated at 255 Mason Ave., in the city of Staten Island, state of NY, with the zip code 103053416.
What is Jack Miceli's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jack Miceli is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1851458483 to Jack Miceli?
The Centers for Medicare & Medicaid Services assigned the 1851458483 to Jack Miceli on 2007-01-02.
When was the information pertaining to Jack Miceli most recently updated or revised?
The details related to Jack Miceli, including its address, specialty, and other relevant information, were last updated or revised on 2010-02-23.