Individual
DR. MICHELE AHMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
257 E MAIN ST, SMITHTOWN, NY 11787-2807
(732) 735-7847
Mailing address
257 E MAIN ST, SMITHTOWN, NY 11787-2807
(732) 735-7847
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
006836
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
006836
NY
390200000X
Student in an Organized Health Care Education/Training Program
274346-231
NY
Other
Enumeration date
07/21/2014
Last updated
11/24/2022
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