Individual
MRS. MICHELLE DANCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 JERICHO TPKE, SYOSSET, NY 11791-4515
(516) 496-6400
Mailing address
89 GREGORY AVE, MERRICK, NY 11566-4217
(516) 712-5986
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
718965
NY
163WC0200X
Critical Care Medicine Registered Nurse
12865139
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
151340
NY
Other
Enumeration date
09/23/2024
Last updated
04/15/2026
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