Individual provider · Type 1 NPI
Donna Miceli, LMT
Medical Specialty Clinic/Center · Prt Jefferson, NY
Practice location
640 Belle Terre Rd Bldg J
Prt Jefferson, NY 11777-1936
Mailing address
33 Leeds Blvd
Farmingville, NY 11738-1147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | None listed |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
6 other providers at this address
- Belle Terre Medical Wellness, PCClinic/Center Port Jefferson, NY NPI 1649848300
- Harbor Medical Wellness PCClinic/Center Port Jefferson, NY NPI 1225786106
- Deborah Santos, LMTMassage Therapist Port Jefferson, NY NPI 1922724848
- Elizabeth BuffamantePain Medicine (Physical Medicine & Rehabilitation) Physician Port Jefferson, NY NPI 1467155028
- Janet DibartoloPain Medicine Physician Port Jefferson, NY NPI 1790429660
- Jennifer Flores, LMTPain Medicine (Physical Medicine & Rehabilitation) Physician Port Jefferson, NY NPI 1942908207
About NPI 1871290205
Donna Miceli, LMT's National Provider Identifier is 1871290205, issued on Feb 15, 2023. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Prt Jefferson, NY. The record was last updated on Feb 15, 2023.