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Ms. Michelle L Ceo, CPNP
Pediatric Nurse Practitioner in Stony Brook, New York
NPI 1578709119

Michelle L Ceo is a Pediatric Nurse Practitioner based in Stony Brook, NY and is specialized in Pediatrics. Michelle L Ceo practices in Stony Brook, NY and has the professional credentials of CPNP. The NPI Number for Michelle L Ceo is 1578709119 and holds a License No. F381993 (New York).

The current practice location address for Michelle L Ceo is Hsc T19-068 Nichols Rd., Stony Brook, NY and can be reached out via phone at 631-444-2045 and via fax at 631-444-8862.

Location: Hsc T19-068 Nichols Rd., Stony Brook, NY, 11794
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578709119
Provider Name
Michelle L Ceo
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
Hsc T19-068 Nichols Rd., Stony Brook, NY, 11794
Phone Number
631-444-2045
Fax Number
631-444-8862
Provider Enumeration Date
01/04/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Hsc T19-068 Nichols Rd.
City
Stony Brook
State
New York
Zip
11794
Phone Number
631-444-2045
Fax Number
631-444-8862
person
Provider Business Mailing Address Details
Address
Hsc T19-068 Nichols Rd.
City
Stony Brook
State
New York
Zip
11794
Phone Number
631-444-2045
Fax Number
631-444-8862
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
F381993 (New York)
Definition
Definition to come...
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