Search › New York › 363A00000X
Jordan Michiel, PA-C, MPAS
NPI 1114466216 · on the registry since 2017
Practice
- Address
- 25 Weichers St
Lake Ronkonkoma, NY 11779 - Phone
- (631) 922-4617
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-02-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York