Individual
MICHELLE PELAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
6143 186TH ST STE C114, FRESH MEADOWS, NY 11365-2710
(718) 551-6139
Mailing address
6143 186TH ST STE C114, FRESH MEADOWS, NY 11365-2710
(718) 551-6139
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
22 528598
NY
163WI0500X
Infusion Therapy Registered Nurse
Primary
528598
NY
Other
Enumeration date
01/17/2014
Last updated
04/20/2021
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