Individual
MICHAEL S HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ONE HEALTHY WAY, OCEANSIDE, NY 11572
(516) 632-4194
(516) 632-4195
Mailing address
3998 FAIR RIDGE DRIVE, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
203968
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01755224
—
NY
01
—
A400035162
EMPIRE MEDICARE
NY
01
—
P00907856
RAILROAD MEDICARE
NY
Enumeration date
04/07/2006
Last updated
04/03/2015
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