Mrs. Elyane L Michnick
Nurse Practitioner - Gerontology
6 Corporate Dr Suite 420
Shelton
, Connecticut 06484-6270
Mrs. Elyane L Michnick
Nurse Practitioner - Gerontology
6 Corporate Dr Suite 420
Shelton
, Connecticut 06484-6270
(718) 948-3716
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Elyane L Michnick
- 494 Genesee Ave
- Staten Island, NY
- Zip : 10312-3206
- Phone : (718) 948-3716
Second Address
- Mrs. Elyane L Michnick
- 6 Corporate Dr Suite 420
- Shelton, CT
- Zip : 06484-6270
- Fax : (203) 926-0594
- Phone : (203) 925-9600
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Is Mrs. Elyane L Michnick a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 340647 | NY |
National Provider Identifier
| NPI | 1033315544 |
|---|---|
| Provider Name | Mrs. Elyane L Michnick |
| First Address | Staten Island, NY 10312-3206 |
| Second Address | Shelton, CT 06484-6270 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.