Angelo Domenic Michilli, D.O.
Internal Medicine in Bronx, NY. Individual provider (NPI-1).
NPI number1457462178
StatusActive
Last updated in NPPESJan 6, 2017
Details
- NPI
- 1457462178
- Entity type
- Individual (NPI-1)
- Name
- Angelo Domenic Michilli
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Jan 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 193504 | NY | Yes |
Practice location
1610 Williamsbridge RdBronx, NY 10461-6289
Phone 718-409-6400 · Fax 718-823-9119
Mailing address
1610 Williamsbridge RdBronx, NY 10461-6289
Phone 718-409-6400 · Fax 718-823-9119
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