Provider Demographics
NPI:1255907390
Name:HUGHES, MICHELE L
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:L
Last Name:HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SADDLE LN
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-6013
Mailing Address - Country:US
Mailing Address - Phone:845-558-8022
Mailing Address - Fax:
Practice Address - Street 1:2 EXECUTIVE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-8217
Practice Address - Country:US
Practice Address - Phone:845-738-0007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-30
Last Update Date:2021-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program