MEDICARE: MS. MARY K MICHALAK PA

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	171100000X	Acupuncturist	001913	NY
2	363AM0700X	Medical Physician Assistant	013621	NY

General Provider Information

NPI Number	:	1699814525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY K MICHALAK PA

Provider Business Mailing Address
First Line	:	2570 ROUTE 9W
Second Line	:	SUITE 10
City	:	CORNWALL
State	:	NY
Zip	:	12518-1323
Country	:	US
Telephone Number	:	845-563-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	147 LAKE ST
Second Line	:
City	:	NEWBURGH
State	:	NY
Zip	:	12550-5242
Country	:	US
Telephone Number	:	845-563-8000
Fax Number	:

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

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	03/21/2019

Similar Medicare Providers

1194728857 — DR. RICHARD P HERMAN DDS
Practice Location Address:

147 LAKE STREET
NEWBURGH, NY
12550-5242

Practice Phone: 845-563-8000
Practice Fax:

1689669079 — CORNERSTONE FAMILY HEALTHCARE
Practice Location Address:

147 LAKE STREET
NEWBURGH, NY
12550-5242

Practice Phone: 845-563-8000
Practice Fax: 845-563-8093

1689660201 — ADEOLA O AYODEJI MD
Practice Location Address:

147 LAKE STREET
NEWBURGH, NY
12550-5242

Practice Phone: 845-563-8000
Practice Fax: 845-563-8096

1801949789 — SANDY V RIVERA LCSW
Practice Location Address:

147 LAKE STREET
NEWBURGH, NY
12550-5242

Practice Phone: 845-563-8000
Practice Fax:

1427199975 — MS. DENISE MORALES LCSW
Practice Location Address:

147 LAKE ST
NEWBURGH, NY
12550-5242

Practice Phone: 845-563-8000
Practice Fax: 845-563-8033

1326181843 — MAURICIO JOSE SILVA M.D.
Practice Location Address:

147 LAKE ST
NEWBURGH, NY
12550-5242

Practice Phone: 845-563-8000
Practice Fax: 845-563-8087

Directions to “ MS. MARY K MICHALAK PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.