Individual
DR. MICHELLE DUCHNOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
500 N BROADWAY, JERICHO, NY 11753-2127
(516) 341-2184
Mailing address
657 HILDA ST, EAST MEADOW, NY 11554-5464
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
022082
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022082
NEW YORK STATE DEPARTMENT OF EDUCATION
NY
Enumeration date
12/20/2006
Last updated
03/17/2018
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