National Provider Identifier
Michael Mark Militello, ATC
Michael Mark Militello, ATC is listed in the NPPES registry with a primary specialty of Specialist in Brockport, NY and a listed phone number of (585) 395-5355.
Profile Overview
- NPI
- 1629136809
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- December 04, 2006
- Last Updated
- July 08, 2007
Practice Location
- 350 New Campus Dr
- Brockport, NY 14420-2997
Phone: (585) 395-5355
Mailing Address
- 50 Morning Glory Ln
- Rochester, NY 14626-4729
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1629136809
- Entity Type
- Individual
- Last Name
- Militello
- First Name
- Michael
- Middle Name
- Mark
- Name Prefix
- Mr.
- Credential
- ATC
- Mailing Street Address
- 50 Morning Glory Ln
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4729
- Mailing Country
- US
- Mailing Phone
- (585) 395-5355
- Practice Street Address
- 350 New Campus Dr
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-2997
- Practice Country
- US
- Practice Phone
- (585) 395-5355
- Enumeration Date
- December 04, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)