Adams, Michelle Lee

Adams, Michelle Lee is an individual health care provider with primary practice located at 601 Suffolk Ave , Brentwood NY 11717-4309. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Adams, Michelle Lee can be contacted via phone (631) 231-4455.

Contact Information

Primary practice address
601 Suffolk Ave Brentwood NY 11717-4309
Fax: (631) 257-5098
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 012483 New York

Profile Details

NPI number 1790957165
LBN Legal business name Adams, Michelle Lee
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2008
Last updated Jan 11th, 2017 - about 7 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 1790957165 NPPES
Other P4752401 SUFFOLK HEALTH PLAN

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