Individual
MRS. CRISTINA MICHELCIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIAL ED TEACHER
Contact information
Practice address
349 N COUNTRY RD, SMITHTOWN, NY 11787-2067
(631) 360-3498
Mailing address
349 N COUNTRY RD, SMITHTOWN, NY 11787-2067
(631) 360-3498
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
NY
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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