MEDICARE: MICHAEL JOSEPH LAHIFF

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1134958184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL JOSEPH LAHIFF

Provider Business Mailing Address
First Line	:	128 FORT WASHINGTON AVE APT 9G
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-4737
Country	:	US
Telephone Number	:	617-285-7114
Fax Number	:

Provider Business Practice Location Address
First Line	:	128 FORT WASHINGTON AVE APT 9G
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-4737
Country	:	US
Telephone Number	:	617-285-7114
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2024
Last Update Date	:	07/29/2024

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Directions to “ MICHAEL JOSEPH LAHIFF ” Practice Location

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