Individual
DR. MICHELLE CECELIA JARDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
213 HALLOCK RD, SUITE 6, STONY BROOK, NY 11790-3000
(631) 941-1000
(631) 941-1010
Mailing address
421 DEER PARK AVE, BABYLON, NY 11702-2313
(631) 941-1000
(631) 941-1010
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
207582
NY
Other
Enumeration date
09/13/2005
Last updated
01/11/2011
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