Zditowski, Michelle Janet
Zditowski, Michelle Janet is an individual health care provider with primary practice located at 3636 33Rd St Suite 500, Long Island City NY 11106-2329. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Zditowski, Michelle Janet can be contacted via phone (212) 589-1212.Contact Information
Primary practice address
3636 33Rd St Suite 500
Long Island City NY 11106-2329
Phone: (212) 589-1212
Fax: (646) 218-3755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1265793269 |
|---|---|
| LBN Legal business name | Zditowski, Michelle Janet |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2012 |
| Last updated | Jun 6th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265793269 | NPPES |
| New York | MEDICAID | 171M00000X |
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