Individual
MICHELE CHRISTINE LAVERDIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1225 MORRIS PARK AVE, BRONX, NY 10461-1949
(718) 839-7016
(226) 212-6892
Mailing address
1225 MORRIS PARK AVE, BRONX, NY 10461-1949
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
251167
NY
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
251167
NY
Other
Enumeration date
05/20/2008
Last updated
04/03/2024
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