Healthcare Provider Details

I. General information

NPI: 1861307811
Provider Name (Legal Business Name): JEFF WENSLY MICHEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 SIEGEL ST
WESTBURY NY
11590-3625
US

IV. Provider business mailing address

260 SIEGEL ST
WESTBURY NY
11590-3625
US

V. Phone/Fax

Practice location:
  • Phone: 516-787-9426
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License Number013279
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: