Individual
MICHELLE MIKHNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2825 JACKSON AVE, LONG ISLAND CITY, NY 11101-2920
(646) 962-4170
(646) 962-0186
Mailing address
2825 JACKSON AVE, LONG ISLAND CITY, NY 11101-2920
(646) 962-4170
(646) 962-0186
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
322635
NY
Other
Enumeration date
10/30/2019
Last updated
08/01/2023
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