# M MICHAEL MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942579685
- **Authorized official:** DR. MANOUCHEHR MICHAEL MD (PRESIDENT)
- **Authorized official phone:** (212) 567-6400

## Contact information

- **Practice address:** 37 NAGLE AVE, SUITE 1D, NEW YORK, NY 10040-1422
- **Practice address phone:** (212) 567-6400
- **Practice address fax:** (212) 567-6424
- **Mailing address:** 37 NAGLE AVE, SUITE 1D, NEW YORK, NY 10040-1422
- **Mailing address phone:** (212) 567-6400
- **Mailing address fax:** (212) 567-6424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2011
- **Last updated:** 12/27/2011