Individual
MS. MICHAELA MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Mailing address
949 OLD BRITTON RD, NORTH BELLMORE, NY 11710-1349
(718) 807-1442
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
012046
NY
Other
Enumeration date
09/26/2007
Last updated
12/12/2022
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