Mr. Michael Denicola
Orthotic Fitter
3311 Hylan Blvd
Staten Island
, New York 10306-3611
Mr. Michael Denicola
Orthotic Fitter
3311 Hylan Blvd
Staten Island
, New York 10306-3611
(888) 283-3353
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mr. Michael Denicola
- 36 Ashwood Ct
- Staten Island, NY
- Zip : 10308-1881
- Fax : (888) 283-3353
- Phone : (917) 696-1573
Second Address
- Mr. Michael Denicola
- 3311 Hylan Blvd
- Staten Island, NY
- Zip : 10306-3611
- Fax : (888) 283-3353
- Phone : (917) 696-1573
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter |
National Provider Identifier
| NPI | 1285035006 |
|---|---|
| Provider Name | Mr. Michael Denicola |
| First Address | Staten Island, NY 10308-1881 |
| Second Address | Staten Island, NY 10306-3611 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/09/2014 |
| Last Update Date | 11/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.