Individual
MS. MERIDITH MIKULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, CNM, RN
Contact information
Practice address
UNIVERSITY ASSOCIATES IN OB/GYN HSC LEVEL 9, ROOM 020, STONY BROOK, NY 11794
(973) 222-0412
Mailing address
PO BOX 1559, STONY BROOK, NY 11794-4142
(973) 222-0412
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
001764
NY
367A00000X
Advanced Practice Midwife
Primary
001764
NY
Other
Enumeration date
01/08/2017
Last updated
09/18/2021
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