Provider Demographics
NPI:1164022455
Name:FINDLAY, MICHAEL CHARLES
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:CHARLES
Last Name:FINDLAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:
Other - Last Name:FINDLAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:9509 32ND AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11369-1849
Mailing Address - Country:US
Mailing Address - Phone:646-397-3876
Mailing Address - Fax:978-709-7678
Practice Address - Street 1:9509 32ND AVE FL 1
Practice Address - Street 2:
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11369-1849
Practice Address - Country:US
Practice Address - Phone:646-397-3876
Practice Address - Fax:978-709-7678
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYUS54024WMedicaid