Persico, Michael G.

Persico, Michael G. is an individual health care provider with primary practice located at 260 W Sunrise Hwy Suite 200, Valley Stream NY 11581-1011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Persico, Michael G. can be contacted via phone (516) 825-3600.

Contact Information

Primary practice address
260 W Sunrise Hwy Suite 200 Valley Stream NY 11581-1011
Phone: (516) 825-3600
Fax: (516) 823-2051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 140320 New York

Profile Details

NPI number 1275574550
LBN Legal business name Persico, Michael G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 30th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275574550 NPPES
New York Other 46D393K511 MEDICARE ID
New York MEDICAID 00905913 MEDICARE ID

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