Iacoviello, Michele Camille

Iacoviello, Michele Camille is an individual health care provider with primary practice located at 777 Zeckendorf Blvd , Garden City NY 11530-2126. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Iacoviello, Michele Camille can be contacted via phone (516) 832-8870.

Contact Information

Primary practice address
777 Zeckendorf Blvd Garden City NY 11530-2126
Phone: (516) 832-8870
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 005017 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1780158501
LBN Legal business name Iacoviello, Michele Camille
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2019
Last updated Apr 18th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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