MISS MICHELLE DENHARTOG, BA

Specialist

Active Individual
NPI: 1376089292

Practice Address

12 WOODS DR
Port Jefferson Station, NY 11776

Phone: (631) 807-6566

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 1097304171 (NY)

Frequently Asked Questions

NPI 1376089292 is the National Provider Identifier for MISS MICHELLE DENHARTOG, BA, a Specialist provider located in Port Jefferson Station, NY. This NPI was enumerated on January 17, 2017.
MISS MICHELLE DENHARTOG, BA practices at 12 WOODS DR, Port Jefferson Station, NY 11776.

Quick Facts

NPI
1376089292
Type
Individual
Enumerated
Jan 17, 2017
Last Updated
Jan 17, 2017

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