person
Mrs. Michelina Sundberg, PA
Medical Physician Assistant in Riverhead, New York
NPI 1669462370

Michelina Sundberg is a Medical Physician Assistant based in Riverhead, NY and is specialized in Medical. Michelina Sundberg practices in Riverhead, NY and has the professional credentials of PA. The NPI Number for Michelina Sundberg is 1669462370 and holds a License No. 008222 (New York).

The current practice location address for Michelina Sundberg is 951 Roanoke Ave, Riverhead, NY and can be reached out via phone at 631-369-5005 and via fax at 631-369-4994.

Location: 951 Roanoke Ave, Riverhead, NY, 11901-2724
person
Provider Profile Details
NPI Number
1669462370
Provider Name
Michelina Sundberg
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
951 Roanoke Ave, Riverhead, NY, 11901-2724
Phone Number
631-369-5005
Fax Number
631-369-4994
Provider Enumeration Date
10/24/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
02519753 05 NY
institution
Provider Business Practice Location Address Details
Address
951 Roanoke Ave
City
State
Zip
11901-2724
Phone Number
631-369-5005
Fax Number
631-369-4994
person
Provider Business Mailing Address Details
Address
951 Roanoke Ave
City
State
Zip
11901-2724
Phone Number
631-369-5005
Fax Number
631-369-4994
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
008222 (New York)
Definition
Definition to come...
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