Individual
MICHELLE JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
27005 76TH AVE, SUITE O-4000, NEW HYDE PARK, NY 11040-1402
(718) 470-7305
Mailing address
45 STEVENS AVE, MERRICK, NY 11566-2838
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307919-1
NY
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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