Individual
MISS MICHELLE N DENVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLSP(CG)
Contact information
Practice address
521 W 57TH ST, NEW YORK, NY 10019-2929
(180) 035-7574
Mailing address
521 W 57TH ST, NEW YORK, NY 10019-2929
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/27/2009
Last updated
05/27/2009
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