Individual
NICOLE M MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1744 W GENESEE ST, SYRACUSE, NY 13204-1902
(315) 468-3414
Mailing address
1744 W GENESEE ST, SYRACUSE, NY 13204-1902
(315) 468-3414
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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