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ADDI MICHELLE GEORGANTZIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3000
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-8134

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01110300
NJ
363LA2200X
Adult Health Nurse Practitioner
F309828
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1083280317
NY
Enumeration date
05/27/2021
Last updated
05/14/2025
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