Marco K Michelson, Md, Pc | |
1051 Port Washington Blvd No 766 Port Washington NY 11050-2941 | |
(917) 771-2111 | |
Not Available |
Full Name | Marco K Michelson, Md, Pc |
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Speciality | Internal Medicine - Infectious Disease |
Location | 1051 Port Washington Blvd, Port Washington, New York |
Authorized Official Name and Position | Marco K Michelson (PRESIDENT) |
Authorized Official Contact | 9177712111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marco K Michelson, Md, Pc Po Box 766 Port Washington NY 11050-0766 Ph: (917) 771-2111 | Marco K Michelson, Md, Pc 1051 Port Washington Blvd No 766 Port Washington NY 11050-2941 Ph: (917) 771-2111 |
NPI Number | 1700048832 |
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Provider Enumeration Date | 06/30/2008 |
Last Update Date | 04/09/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700048832 | NPI | - | NPPES |
01366912 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 188110 (New York) | Primary |
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