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Michelle Shubovich
Adult Health Nurse Practitioner in East Northport, New York
NPI 1033881404

Michelle Shubovich is an Adult Health Nurse Practitioner based in East Northport, NY and is specialized in Adult Health. Michelle Shubovich practices in East Northport, NY. The NPI Number for Michelle Shubovich is 1033881404 and holds a License No. 310308 (New York).

The current practice location address for Michelle Shubovich is 2 Stonehenge Ln, East Northport, NY and can be reached out via phone at 917-388-7856.

Location: 2 Stonehenge Ln, East Northport, NY, 11731-4520
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033881404
Provider Name
Michelle Shubovich
Credential
Provider Entity Type
Individual
Gender
Female
Address
2 Stonehenge Ln, East Northport, NY, 11731-4520
Phone Number
917-388-7856
Fax Number
Provider Enumeration Date
10/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2 Stonehenge Ln
City
East Northport
State
New York
Zip
11731-4520
Phone Number
917-388-7856
Fax Number
person
Provider Business Mailing Address Details
Address
2 Stonehenge Ln
City
East Northport
State
New York
Zip
11731-4520
Phone Number
917-388-7856
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
310308 (New York)
Definition
Definition to come...
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