Michele Short
NPI #1538317672 in Lake Grove, New York
Provider Information
- NPI Number
- 1538317672
- Entity Type
- Individual
- Name
- Michele Short
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Sep 3, 2008
- Last Updated
- Sep 3, 2008
Practice Location
- Address
- 7 WILLIAMS BLVD
- Address 2
- APT # 2L
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-2451
- Phone
- (631) 676-6599
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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