Individual
MICHAEL MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6355 BROADWAY, BRONX, NY 10471-2701
(781) 841-8000
Mailing address
815 W 181ST ST APT 6F, NEW YORK, NY 10033-4563
(212) 740-7847
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
604629
NY
Other
Enumeration date
11/26/2017
Last updated
11/26/2017
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