Individual
MICHELLE P PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
(631) 686-7693
Mailing address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
(631) 686-7693
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
203466
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02081143
—
NY
Enumeration date
08/12/2006
Last updated
06/03/2013
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