Prof Charles Kenneth Miceli, MD in Massapequa, NY

Prof Charles Kenneth Miceli, MD is a Internal Medicine - Interventional Cardiology physician based in Massapequa, New York. Prof Charles Kenneth Miceli is licensed to practice in New York (license number 130596) and his current practice location is 585 Broadway, Massapequa, New York. He can be reached at his office (for appointments etc.) via phone at (516) 797-1234.

NPI number for Prof Charles Kenneth Miceli is 1528057353 and his current mailing address is 585 Broadway, Broadway Internal Medicine Associates P C, Massapequa, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528057353.

Contact Information

	Prof Charles Kenneth Miceli, MD
	585 Broadway, Massapequa, NY 11758-5023
	(516) 797-1234
	(516) 797-1932

Map and Direction

Physician's Profile

Full Name	Prof Charles Kenneth Miceli
Gender	Male
Speciality	Internal Medicine - Interventional Cardiology
Location	585 Broadway, Massapequa, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1528057353
Provider Enumeration Date: 10/14/2005
Last Update Date: 09/28/2007

Medical Identifiers

Medical identifiers for Prof Charles Kenneth Miceli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528057353	NPI	-	NPPES
00409210	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0011X	Internal Medicine - Interventional Cardiology	130596 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prof Charles Kenneth Miceli is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Prof Charles Kenneth Miceli, MD 585 Broadway, Broadway Internal Medicine Associates P C, Massapequa, NY 11758-5023 Ph: (516) 797-1234	Prof Charles Kenneth Miceli, MD 585 Broadway, Massapequa, NY 11758-5023 Ph: (516) 797-1234

Reviews and Comments

Internal Medicine Doctors in Massapequa, NY

Dr. Roger Kersten, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 510 Hicksville Rd, Massapequa, NY 11758 Phone: 516-795-2626 Fax: 516-799-7451
Miloni H Thakker, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1061 N Broadway Ste 2, Massapequa, NY 11758 Phone: 631-758-7003
David Alan Goldstein, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 510 Hicksville Road, Massapequa, NY 11758 Phone: 516-795-2626 Fax: 516-799-7451
Dr. Grigoriy Krichmar, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 510 Hicksville Rd, Massapequa, NY 11758 Phone: 516-795-2626 Fax: 516-799-7451
Michael Falkove, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4150 Sunrise Hwy, Massapequa, NY 11758 Phone: 516-541-1721 Fax: 516-541-1463
Dr. Conan Tu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4150 Sunrise Hwy, Massapequa, NY 11758 Phone: 516-541-1721 Fax: 516-541-1463
Dr. Herbert I. Pasternak, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 187 Veterans Blvd, Massapequa, NY 11758 Phone: 516-795-5523 Fax: 516-795-5521

Prof Charles Kenneth Miceli, MD - Internal Medicine in Massapequa, NY