Michailides, Sally Michelle

Michailides, Sally Michelle is an sole proprietor health care provider with primary practice located at 71 Prospect Ave Suite 210, Hudson NY 12534-2907. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Michailides, Sally Michelle can be contacted via phone (518) 943-1404.

Contact Information

Primary practice address
71 Prospect Ave Suite 210 Hudson NY 12534-2907
Phone: (518) 943-1404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 396158-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F336227 New York

Profile Details

NPI number 1427243799
LBN Legal business name Michailides, Sally Michelle
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2007
Last updated Jun 28th, 2011 - about 13 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 1427243799 NPPES
New York MEDICAID 01464488

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