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Individual

GERALDINE MICHEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 390-9640
(516) 390-9650
Mailing address
10444 205TH ST, SAINT ALBANS, NY 11412-1410
(718) 776-5200

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306013
NY

Other

Enumeration date
08/13/2014
Last updated
08/13/2014
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