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Michelle London, PTA
NPI 1346518214 · on the registry since 2011
Practice
- Address
- 1701 Madison St
2f
Ridgewood, NY 11385 - Phone
- (386) 801-3063
- Organisation at this address
- Madison Rx Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-12-07
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