Individual provider · Type 1 NPI
Michael McDonald
Specialist · Massapequa, NY
NPI number
1255696712
Active
Practice location
17 Marshall St
Massapequa, NY 11758-5437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 209982031 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1255696712
Michael McDonald's National Provider Identifier is 1255696712, issued on Jul 11, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Massapequa, NY. The record was last updated on Jul 11, 2012.