Individual
MICHELENE FIEDTKOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 HEMPSTEAD TPKE STE 403, LEVITTOWN, NY 11756-1396
(347) 605-5020
Mailing address
3000 HEMPSTEAD TPKE STE 403, LEVITTOWN, NY 11756-1396
(347) 605-5020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
017346
NY
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
04/01/2026
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