Michele McCauley
Specialist in Lake Grove, NY. Individual provider (NPI-1).
NPI number1396100202
StatusActive
Last updated in NPPESNov 30, 2017
Details
- NPI
- 1396100202
- Entity type
- Individual (NPI-1)
- Name
- Michele McCauley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2015
- Last updated
- Nov 30, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3 Haddow CtLake Grove, NY 11755-2712
Phone 516-778-4312
Mailing address
5161 Village Cir EManorville, NY 11949-9566
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