MICHELLE L CEO

STONY BROOK, NY
NPI1578709119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY  381993)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY  F381993)
Enumeration Date2009-01-04
Last Update Date2013-12-12
Business Address
Ms. MICHELLE L CEO C.P.N.P.
HSC T19-068 NICHOLS RD.
STONY BROOK, NY 11794
Phone number: 631-444-2045
Mailing Address
Ms. MICHELLE L CEO C.P.N.P.
HSC T19-068 NICHOLS RD. STONY BROOK UNIVERSITY MEDICAL CENTER
STONY BROOK, NY 11794
Phone number: 631-444-2045
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