Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Joseph T Miccoli, RPA-C

Individual provider Medical Physician Assistant · NPI 1598997488

Mr. Joseph T Miccoli, RPA-C is a Medical Physician Assistant in Lawrence, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
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Practice location Address checks out

215 Rockaway Tpke
Lawrence, NY 11559-1216
Phone: (516) 374-5024
Fax: (516) 374-5816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 013446 (NY)

Record details

NPI number1598997488
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedAugust 11, 2009
Last updated in NPPESAugust 5, 2016

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