Individual
MS. MICHELLE RENEE MICHITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
175 FULTON AVE, SUITE 100, HEMPSTEAD, NY 11550-3718
(516) 292-1034
(516) 292-0565
Mailing address
38 REDWING LN, LEVITTOWN, NY 11756-2132
(516) 520-1947
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F381247
NY
Other
Enumeration date
10/26/2006
Last updated
06/15/2012
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