Individual provider · Type 1 NPI

Michael Mark Militello, ATC

Specialist · Brockport, NY

NPI number 1629136809 Active

Practice location

350 New Campus Dr
Brockport, NY 14420-2997

Call (585) 395-5355 Map

Mailing address

50 Morning Glory Ln
Rochester, NY 14626-4729

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X000079 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1629136809

Michael Mark Militello, ATC's National Provider Identifier is 1629136809, issued on Dec 4, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brockport, NY. The record was last updated on Jul 8, 2007.