| Michelle Widlitz Md | |
|
276 5th Ave Suite 1101 New York NY 10001-4509 | |
| (347) 452-3485 | |
| Not Available |
| Full Name | Michelle Widlitz Md |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 276 5th Ave, New York, New York |
| Authorized Official Name and Position | Michelle Widlitz (PRESIDENT) |
| Authorized Official Contact | 3474523485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Widlitz Md 300 E 71st St 16h New York NY 10021-5234 Ph: (212) 249-4777 | Michelle Widlitz Md 276 5th Ave Suite 1101 New York NY 10001-4509 Ph: (347) 452-3485 |
| NPI Number | 1821241738 |
|---|---|
| Provider Enumeration Date | 10/23/2008 |
| Last Update Date | 10/23/2008 |
| Medicare PECOS PAC ID | 4284796392 |
|---|---|
| Medicare Enrollment ID | O20081229000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821241738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 218963 (New York) | Primary |
| Provider Name | Michelle L Widlitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467598839 PECOS PAC ID: 3173556784 Enrollment ID: I20081229000005 |
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