Search › New York › 171100000X
Jed Michael
NPI 1598240095 · on the registry since 2018 · sole proprietor
Practice
- Address
- 422 Taylor Pl
Ithaca, NY 14850 - Phone
- (215) 880-1951
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-10-01
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