Maddox, Michaela

Maddox, Michaela is an individual health care provider with primary practice located at 5645 Main St , Flushing NY 11355-5045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Maddox, Michaela can be contacted via phone (718) 670-2000.

Contact Information

Primary practice address
5645 Main St Flushing NY 11355-5045
Phone: (718) 670-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 012046 New York

Profile Details

NPI number 1174710859
LBN Legal business name Maddox, Michaela
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2007
Last updated Dec 12th, 2022 - about 4 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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