person
Dr. Michael Joseph Michno JR., MD
Student in an Organized Health Care Education/Training Program in Port Jefferson, New York
NPI 1407351182

Michael Joseph Michno JR. is a Student in an Organized Health Care Education/Training Program based in Boston, NY. Michael Joseph Michno JR. practices in Port Jefferson, NY and has the professional credentials of MD. The NPI Number for Michael Joseph Michno JR. is 1407351182 and holds a License No. (New York).

The current practice location address for Michael Joseph Michno JR. is 75 N Country Rd, Port Jefferson, NY and can be reached out via phone at 631-686-2517.

Location: 75 N Country Rd, Port Jefferson, NY, 02125-1525
person
Provider Profile Details
NPI Number
1407351182
Provider Name
Michael Joseph Michno JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
75 N Country Rd, Port Jefferson, NY, 02125-1525
Phone Number
631-686-2517
Fax Number
Provider Enumeration Date
03/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
75 N Country Rd
City
State
Zip
11777-2119
Phone Number
631-686-2517
Fax Number
person
Provider Business Mailing Address Details
Address
75 N Country Rd
City
State
Zip
11777-2119
Phone Number
631-686-2517
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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