Individual
MICHELLE SCHNACKENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
495 HOFFMAN LN, HAUPPAUGE, NY 11788-3102
(631) 863-3000
Mailing address
495 HOFFMAN LN, HAUPPAUGE, NY 11788-3102
(631) 863-3000
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
400102-1
NY
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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