Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 1087242 | NY |
NPI | 1114296829 |
---|---|
Provider Name | Mrs. Michelle Anthony |
First Address | East Meadow, NY 11554-5000 |
Second Address | Hempstead, NY 11550-3634 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2011 |
Last Update Date | 26/12/2011 |