Provider Demographics
NPI:1639975329
Name:HANDY, MICHAELA KATHLEEN
Entity type:Individual
Prefix:
First Name:MICHAELA
Middle Name:KATHLEEN
Last Name:HANDY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 LEWIS RD
Mailing Address - Street 2:
Mailing Address - City:FORT PLAIN
Mailing Address - State:NY
Mailing Address - Zip Code:13339-3417
Mailing Address - Country:US
Mailing Address - Phone:315-219-1510
Mailing Address - Fax:
Practice Address - Street 1:127 LEWIS RD
Practice Address - Street 2:
Practice Address - City:FORT PLAIN
Practice Address - State:NY
Practice Address - Zip Code:13339-3417
Practice Address - Country:US
Practice Address - Phone:315-219-1510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-22
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula