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NPI Code Detail

MEDICARE: MICHELLE THEN

MEDICARE:   MICHELLE  THEN
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
1235Z00000XSpeech-Language PathologistNY

General Provider Information

NPI Number : 1902233042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE THEN
Provider Business Mailing Address
First Line : 3681 BROADWAY
Second Line : APT. 24
City : NEW YORK
State : NY
Zip : 10031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3681 BROADWAY
Second Line : APT. 24
City : NEW YORK
State : NY
Zip : 10031-1518
Country : US
Telephone Number : 646-327-4423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2013
Last Update Date : 10/03/2013

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Directions to “ MICHELLE THEN ” 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.