Michel, Lesly Gracia

Michel, Lesly Gracia is an individual health care provider with primary practice located at 495 Beach 20Th St , Far Rockaway NY 11691-3621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Michel, Lesly Gracia can be contacted via phone (347) 619-5950.

Contact Information

Primary practice address
495 Beach 20Th St Far Rockaway NY 11691-3621
Phone: (347) 619-5950
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 251187 New York
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 251187 New York

Profile Details

NPI number 1194983429
LBN Legal business name Michel, Lesly Gracia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated Jul 21st, 2022 - about 2 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 1194983429 NPPES
New York MEDICAID 03404868
New York Other 251187

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