Individual
MICHELINE TELFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14227 FRANKLIN AVE, FLUSHING, NY 11355-2629
(718) 670-3400
Mailing address
797 E 39TH ST, BROOKLYN, NY 11210-2001
(347) 563-6865
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
409752
NY
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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