Individual
MR. MICHAEL JAMES HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
474 TULIP AVE, FLORAL PARK, NY 11001-3206
(516) 326-1937
(516) 326-1937
Mailing address
474 TULIP AVE, FLORAL PARK, NY 11001-3206
(516) 326-1937
(516) 326-1937
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
476726-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01901275
—
NY
Enumeration date
12/02/2006
Last updated
07/09/2007
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