Individual
MS. MICHELLE JENNIFER CORDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
525 E 68TH ST, SUITE J-130, NEW YORK, NY 10065-4870
(718) 746-0315
Mailing address
525 E 68TH ST, SUITE J-130, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014539
NY
Other
Enumeration date
04/18/2011
Last updated
06/16/2011
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