Individual
SCOTT MICHENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
838 PELHAMDALE AVE, NEW ROCHELLE, NY 10801-1032
(914) 576-9600
Mailing address
444 MANHATTAN AVE, APT 2D, NEW YORK, NY 10026-1048
(917) 767-1136
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
689463
NY
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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