Individual
MICHELINE R. FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1101 NOTT ST, SCHENECTADY, NY 12308-2425
(518) 289-2400
(518) 243-1350
Mailing address
89 SHELDON DR, MECHANICVILLE, NY 12118-3441
(518) 857-2734
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
198459
NY
207RP1001X
Pulmonary Disease Physician
198457
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02132341
—
NY
01
—
J400016932
MEDICARE PTAN
—
Enumeration date
02/09/2007
Last updated
03/25/2025
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