MEDICARE: MRS. MICHELLE ANTHONY

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	101YS0200X	School Counselor	1087242	NY

General Provider Information

NPI Number	:	1114296829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE ANTHONY

Provider Business Mailing Address
First Line	:	1718 LENOX AVE
Second Line	:
City	:	EAST MEADOW
State	:	NY
Zip	:	11554-5000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	94 FULTON AVE
Second Line	:
City	:	HEMPSTEAD
State	:	NY
Zip	:	11550-3634
Country	:	US
Telephone Number	:	516-408-2200
Fax Number	:

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

Provider Enumeration Date	:	12/26/2011
Last Update Date	:	12/26/2011

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Directions to “ MRS. MICHELLE ANTHONY ” Practice Location

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