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Individual

DR. MICHELE LEE SPERANZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
52 S MANHEIM BLVD, NEW PALTZ, NY 12561-2406
(845) 255-2259
Mailing address
52 S MANHEIM BLVD, NEW PALTZ, NY 12561-2406
(845) 255-2259

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
015234
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02289123
NY
01
06-1642292
POMCO
NY
01
492219
VALUE OPTIONS
NY
01
716631
MVP PROVIDER NUMBER
NY
01
P00200847
RAILROAD MEDICARE
NY
01
P2885271
OXFORD PROVIDER NUMBER
NY
Enumeration date
11/06/2006
Last updated
07/08/2007
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