Individual
DR. MICHELLE LEE WIDLITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
211 E 43RD ST, SUITE 1305, NEW YORK, NY 10017-4707
(212) 490-1348
Mailing address
211 E 43RD ST, SUITE 1305, NEW YORK, NY 10017-4707
(212) 490-1348
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
218963-1
NY
2084P0800X
Psychiatry Physician
Primary
218963-1
NY
Other
Enumeration date
01/30/2007
Last updated
05/09/2016
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