Individual
MICHELE LICHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 W 59TH ST, NEW YORK, NY 10019-1104
(212) 590-2930
Mailing address
1780 BROADWAY, SUITE 1100, NEW YORK, NY 10019-1414
(212) 590-2930
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
208250
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02150118
—
NY
Enumeration date
06/06/2006
Last updated
07/08/2007
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