Provider Demographics
NPI:1114554292
Name:MICHAELS, DOROTHY HELEN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:HELEN
Last Name:MICHAELS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1395 BELLMORE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-3747
Mailing Address - Country:US
Mailing Address - Phone:908-816-7687
Mailing Address - Fax:516-781-7198
Practice Address - Street 1:1395 BELLMORE RD
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-3747
Practice Address - Country:US
Practice Address - Phone:908-816-7687
Practice Address - Fax:516-781-7198
Is Sole Proprietor?:No
Enumeration Date:2020-03-26
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY309466163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology