MS. Michelle Alba

NPI #1659818045 in Northport, New York

Provider Information

NPI Number: 1659818045
Entity Type: Individual
Name: MS. Michelle Alba
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jan 24, 2017
Last Updated: Jan 24, 2017

Practice Location

Address: 6 AMANDA CT
City: Northport
State: New York
ZIP Code: 11768-3362
Phone: (917) 583-6582

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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