Individual
MICHAEL GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 OLD COUNTRY RD, SUITE 450, MINEOLA, NY 11501-4235
(516) 663-9500
(516) 663-4613
Mailing address
200 OLD COUNTRY RD, SUITE 450, MINEOLA, NY 11501-4235
(516) 663-9500
(516) 663-4613
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
184395-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01573179
—
NY
Enumeration date
05/18/2006
Last updated
02/24/2021
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