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Contact Information

MARCIANO I MICLAT JR, MD
1 WINDING BROOK DR
LARCHMONT, NY10538-1018
 Phone: 914-636-8657
 Fax: 914-636-8427
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARCIANO I MICLAT JR · (Male)

NPI Number 1740376151
Status Active
Credentials MD
Entity Individual
Enumeration date 10/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 125470
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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