Individual
DAWN R MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W 72ND ST APT 1D, NEW YORK, NY 10023-2661
(631) 949-1878
Mailing address
30 WASHINGTON AVE, MASTIC BEACH, NY 11951-1901
(631) 949-1878
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402320
NY
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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