Michelle Mardiney

NPI #1124145560 in Commack, New York

Provider Information

NPI Number: 1124145560
Entity Type: Individual
Name: Michelle Mardiney
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Mar 22, 2007
Last Updated: Jun 6, 2012

Practice Location

Address: 16 SOMA LN
City: Commack
State: New York
ZIP Code: 11725-1808
Phone: (646) 456-1464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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