MEDICARE: MRS. MICHELLE JOANNE COLE-HATCHARD

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	174400000X	Specialist

General Provider Information

NPI Number	:	1174962914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE JOANNE COLE-HATCHARD

Provider Business Mailing Address
First Line	:	319 ROUTE 210
Second Line	:
City	:	STONY POINT
State	:	NY
Zip	:	10980-3211
Country	:	US
Telephone Number	:	845-494-1168
Fax Number	:

Provider Business Practice Location Address
First Line	:	319 ROUTE 210
Second Line	:
City	:	STONY POINT
State	:	NY
Zip	:	10980-3211
Country	:	US
Telephone Number	:	845-494-1168
Fax Number	:

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

Provider Enumeration Date	:	06/14/2013
Last Update Date	:	06/14/2013

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Directions to “ MRS. MICHELLE JOANNE COLE-HATCHARD ” Practice Location

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