1. Home
  2. Directory
  3. New York
  4. Brockport
  5. Specialist
  6. NPI Profile

MR. MICHAEL MARK MILITELLO ATC
NPI 1629136809
Specialist in Brockport, NY

Active since December 04, 2006
350 NEW CAMPUS DR, BROCKPORT, NY 14420(585) 395-5355 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael Mark Militello Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL MARK MILITELLO ATC (NPI 1629136809) is an individual specialist in Brockport, New York, licensed in New York (000079) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1629136809
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. MICHAEL MARK MILITELLOCredential: ATC
Location Address350 NEW CAMPUS DRBrockport, NY 14420-2997
Mailing Address50 Morning Glory LnRochester, NY 14626-4729 · (585) 395-5355
Phone(585) 395-5355
Sole ProprietorYes
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629136809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 000079
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
350 NEW CAMPUS DR, Brockport, NY 14420
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STATE UNIVERSITY OF NEW YORK COLLEGE AT BROCKPORT
Clinic/Center (Student Health)
350 NEW CAMPUS DR, HAZEN HALL
BROCKPORT, NY 14420
Monroe County (585) 395-2414
LYDIA ALICE JOHNSON
Specialist/Technologist (Athletic Trainer)
350 NEW CAMPUS DR
BROCKPORT, NY 14420
Monroe County (585) 395-5374
CHERYL M VAN LARE NP
Nurse Practitioner (Family)
350 NEW CAMPUS DR, HAZEN STUDENT HEALTH CENTER
BROCKPORT, NY 14420
Monroe County (585) 395-2414
ASHLEY D BECKWITH RN
Nurse Practitioner (Family)
350 NEW CAMPUS DR
BROCKPORT, NY 14420
Monroe County (585) 395-2211
QUINN MALONEY
Nurse Practitioner (Family)
350 NEW CAMPUS DR
BROCKPORT, NY 14420
Monroe County (585) 395-2414
MR. KYLE WILLIAM CANAVALLY JR. ATC.
Specialist/Technologist (Athletic Trainer)
350 NEW CAMPUS DR
BROCKPORT, NY 14420
Monroe County (585) 395-5374
ELIZABETH S CARUSO ANP
Nurse Practitioner (Adult Health)
350 NEW CAMPUS DR
BROCKPORT, NY 14420
Monroe County (585) 395-2414
COREY EVERETT LUCEY
Student in an Organized Health Care Education/Training Program
350 NEW CAMPUS DR
BROCKPORT, NY 14420
Monroe County (585) 395-2211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Militello's NPI number?

The NPI number for Michael Militello is 1629136809. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Michael Militello located?

Michael Militello practices at 350 New Campus Dr, Brockport, NY 14420. The listed phone number is (585) 395-5355.

What is Michael Militello's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Michael Militello was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.