Individual
MICHAEL MICHNYA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
30 PROSPECT AVE, DEPT OF CARDIOTHORACIC SURGERY, HACKENSACK, NJ 07601-1914
(201) 996-2971
Mailing address
30 PROSPECT AVE, DEPT OF CARDIOTHORACIC SURGERY, HACKENSACK, NJ 07601-1914
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00084100
NJ
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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