National Provider Identifier
Anthony Michael Miceli, PA
Anthony Michael Miceli, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 275-5321.
Profile Overview
- NPI
- 1588494611
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- August 05, 2024
- Last Updated
- October 25, 2024
Practice Location
- 10 Miracle Mile Dr
- Rochester, NY 14623-5851
Phone: (585) 275-5321
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1588494611
- Entity Type
- Individual
- Last Name
- Miceli
- First Name
- Anthony
- Middle Name
- Michael
- Name Prefix
- Mr.
- Credential
- PA
- Mailing Street Address
- 10 Miracle Mile Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-5851
- Mailing Country
- US
- Practice Street Address
- 10 Miracle Mile Dr
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-5851
- Practice Country
- US
- Practice Phone
- (585) 275-5321
- Enumeration Date
- August 05, 2024
- Last Updated
- October 25, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 25, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)