Individual
MICHAEL C OWEN-MICHAANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.A.
Contact information
Practice address
630 W 168TH ST, VP&S 9-501, NEW YORK, NY 10032
(212) 342-3881
(212) 305-5384
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 342-3881
(212) 305-5384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
256030
NY
207RP1002X
Physician Nutrition Specialist (Internal Medicine)
256030
NY
208M00000X
Hospitalist Physician
Primary
256030
NY
Other
Enumeration date
07/07/2007
Last updated
12/11/2025
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