MICHELLE MONIQUE VANWICKLER

OCEANSIDE, NY
NPI1922322049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  008723)
Enumeration Date2010-03-18
Last Update Date2010-03-18
Business Address
-- MICHELLE MONIQUE VANWICKLER PA
3051 LONG BEACH RD
OCEANSIDE, NY 11572-3240
Phone number: 516-536-2000
Mailing Address
-- MICHELLE MONIQUE VANWICKLER PA
3051 LONG BEACH RD
OCEANSIDE, NY 11572-3240
Phone number: