Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 299122 | NY |
N | 207RP1001X | Pulmonary Disease | 299122 | NY |
N | 2084N0400X | Neurologist | OS018622 | PA |
NPI | 1073776548 |
---|---|
Provider Name | Dr. Matthew James Michaels |
First Address | Middletown, NY 10940-2650 |
Second Address | Middletown, NY 10940-2650 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2008 |
Last Update Date | 03/09/2020 |