Individual
MRS. KATHLEEN MARIE MICHAELIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3425 82ND ST, JACKSON HEIGHTS, NY 11372-2967
(718) 898-6973
Mailing address
44 SALISBURY RUN, MOUNT SINAI, NY 11766-2823
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
014831
NY
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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