Individual
MICHELLE SOPHY HUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
440 MAMARONECK AVE STE 412, HARRISON, NY 10528-2429
(914) 761-7070
Mailing address
440 MAMARONECK AVE STE 412, HARRISON, NY 10528-2429
(914) 761-7070
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
024434-01
NY
Other
Enumeration date
11/20/2019
Last updated
05/24/2024
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