Most Relevant Information
Provider Data
| NPI Number: | 1003352576 |
| Provider Name: | ANNEMARIE MIGUEL |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/09/2017 |
| Last Updated: | 01/09/2017 |
Provider Practice Location
538 BROADHOLLOW RD
SUITE 202
MELVILLE
NY
117473676
Practice Location Phone/Fax
| Phone: | 6313857780 |
| Fax: | 6313857795 |
Provider Mailing Location
538 BROADHOLLOW RD
SUITE 202
MELVILLE
NY
117473676
Provider Mailing Phone/Fax
| Phone: | 6313857780 |
| Fax: | 6313857795 |