Individual
MICHELLE HARCLERODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 GRAND AVE, MASSAPEQUA, NY 11758-4905
(516) 799-3203
Mailing address
75 GRAND AVE, MASSAPEQUA, NY 11758-4905
(516) 799-3203
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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