Individual
MICHELE WHITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 EXECUTIVE DR, PLAINVIEW, NY 11803-1718
(516) 576-2040
Mailing address
342 AVENUE B, RONKONKOMA, NY 11779-1943
(631) 836-8254
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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