Individual
MICHELLE L DIRADDO
Active
Individual
MICHELLE L DIRADDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
382751
NY
363LP0200X
Pediatric Nurse Practitioner
328751
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382751
NY
Other
Enumeration date
06/20/2017
Last updated
06/29/2023
Update your record
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