MEDICARE: DR. ROBERT A MIELE DPM

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
1	213EP1101X	Primary Podiatric Medicine Podiatrist	N002674	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922172733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT A MIELE DPM

Provider Business Mailing Address
First Line	:	850 HOWARD AVENUE
Second Line	:	APT 6H
City	:	STATEN ISLAND
State	:	NY
Zip	:	10301
Country	:	US
Telephone Number	:	718-981-6070
Fax Number	:	718-447-2818

Provider Business Practice Location Address
First Line	:	364 EDISON ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-3041
Country	:	US
Telephone Number	:	718-524-4112
Fax Number	:	718-524-4189

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	09/30/2013

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