Individual
MRS. ELYANE L MICHNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6 CORPORATE DR, SUITE 420, SHELTON, CT 06484-6270
(203) 925-9600
(203) 926-0594
Mailing address
494 GENESEE AVE, STATEN ISLAND, NY 10312-3206
(718) 948-3716
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
340647
NY
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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