Individual
MICHELLE BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
570 W 156TH ST APT 21, NEW YORK, NY 10032-7828
(646) 421-1000
Mailing address
570 W 156TH ST APT 21, NEW YORK, NY 10032-7828
(646) 421-1000
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88-2823337
—
NY
Enumeration date
07/03/2022
Last updated
07/03/2022
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