IndividualActive
Donna Miceli, LMT
NPI 1871290205 · Medical Specialty Clinic/Center · Prt Jefferson, NY
Provider details
- NPI number
- 1871290205
- Entity type
- Individual
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
640 Belle Terre Rd Bldg J
Prt Jefferson, NY 11777-1936
Phone: (631) 828-5361
Approximate (ZIP-level) locationGet directions
Mailing address
33 Leeds Blvd
Farmingville, NY 11738-1147
Registry dates
- Enumerated
- 2023-02-15
- Last updated
- 2023-02-15
- Certified
- 2023-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.