Antoine, Michaelle

Antoine, Michaelle is an individual health care provider with primary practice located at 300 Crystal Run Rd , Middletown NY 10941-4069. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Antoine, Michaelle can be contacted via phone (845) 703-6999.

Contact Information

Primary practice address
300 Crystal Run Rd Middletown NY 10941-4069
Fax: (845) 703-6297
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 266858 New York

Profile Details

NPI number 1497963599
LBN Legal business name Antoine, Michaelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2007
Last updated Jul 31st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497963599 NPPES
New York MEDICAID 03492775

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