Individual
MICHELLE EDIALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8104 AVENUE J, BROOKLYN, NY 11236-3816
(718) 306-2850
Mailing address
8104 AVENUE J, BROOKLYN, NY 11236-3816
(718) 306-2850
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
975597-01
NY
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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