Individual
DR. JEFFREY J MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 1ST AVE, SUITE 4B, NEW YORK, NY 10016-6402
(212) 263-0705
(212) 263-0704
Mailing address
530 1ST AVE, SUITE 4B, NEW YORK, NY 10016-6402
(212) 263-0705
(212) 263-0704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
208162
NY
207RN0300X
Nephrology Physician
Primary
208162-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02287516
—
NY
01
—
0M1298
HEALTHNET
—
01
—
133980318
MULTIPLAN
—
01
—
133980318-10
1199
—
01
—
208162
HIP
—
01
—
3399673
GHI
—
01
—
7095355
AETNA HMO
—
01
—
7282389
CIGNA
—
Enumeration date
07/20/2006
Last updated
08/14/2023
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