Individual
ALICIA E MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
288 MAIN ST, BEACON, NY 12508-3015
(845) 838-0086
(845) 838-1278
Mailing address
288 MAIN ST, BEACON, NY 12508-3015
(845) 838-0086
(845) 838-1278
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
053489-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2898479
—
NY
Enumeration date
01/18/2008
Last updated
01/18/2008
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