Individual
DR. MICHELE ANTOINETTE SCANTLEBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 BERRY ST, BROOKLYN, NY 11249-3922
(718) 599-1202
Mailing address
272 65TH ST APT 11F, BROOKLYN, NY 11220-6512
(646) 724-0150
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
208050
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01807414
—
NY
Enumeration date
09/27/2006
Last updated
07/25/2023
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