Individual
MICHELLE ANN EICHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
6143 84TH PL, MIDDLE VILLAGE, NY 11379-1412
(917) 312-5331
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019909-1
NY
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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