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Individual
URICK MICHEL
Active
Individual
URICK MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305626
NY
363LF0000X
Family Nurse Practitioner
343902
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
403220
NY
Other
Enumeration date
06/21/2011
Last updated
05/25/2022
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