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Individual

MR. ABDEL MICHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
20901 JAMAICA AVE, JAMAICA, NY 11428-1548
(718) 559-0516
Mailing address
21631 113TH AVE, QUEENS VILLAGE, NY 11429-2642
(917) 379-6548

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
634866
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405092
NY

Other

Enumeration date
09/26/2019
Last updated
11/12/2023
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