Individual provider · Type 1 NPI

Michaela Maddox, P.A.

Medical Physician Assistant · Flushing, NY

NPI number 1174710859 Active

Practice location

5645 Main St
Flushing, NY 11355-5045

Call (718) 670-2000 Map

Mailing address

949 Old Britton Rd
North Bellmore, NY 11710-1349

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X012046 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1174710859

Michaela Maddox, P.A.'s National Provider Identifier is 1174710859, issued on Sep 26, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Flushing, NY. The record was last updated on Dec 12, 2022.