Physician Compare National (NPI:1265461560)

HEALTHCARE PROVIDER: MICHELLE DOXSEE

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1265461560
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3375882194
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190221002986
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DOXSEE
	Individual professional last name
Provider First Name	MICHELLE
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3555 VETERANS MEMORIAL HWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE E
	Group Practice or individual's line 2 address
City	RONKONKOMA
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	117797636
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y