MEDICARE: ESAIE MICHEL

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	363LF0000X	Family Nurse Practitioner	812284	NY

General Provider Information

NPI Number	:	1184573941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESAIE MICHEL

Provider Business Mailing Address
First Line	:	523 E 52ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-5311
Country	:	US
Telephone Number	:	631-805-0584
Fax Number	:

Provider Business Practice Location Address
First Line	:	523 E 52ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-5311
Country	:	US
Telephone Number	:	631-805-0584
Fax Number	:

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

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “ ESAIE MICHEL ” Practice Location

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