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NPI Code Detail

MEDICARE: MS. DAYNA AURORA MICELI LCSW

MEDICARE: MS. DAYNA AURORA MICELI LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker115001NY
21041C0700XClinical Social Worker100707NY

General Provider Information

NPI Number : 1508517434
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DAYNA AURORA MICELI LCSW
Provider Business Mailing Address
First Line : 461 PARKSIDE AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14216-3406
Country : US
Telephone Number : 315-532-8002
Fax Number :
Provider Business Practice Location Address
First Line : 89B RIVER RD
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-5713
Country : US
Telephone Number : 716-693-9961
Fax Number : 716-693-4402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2022
Last Update Date : 08/25/2025

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