Individual provider · Type 1 NPI

Michelle Denhartog, BA

Specialist · Port Jefferson Station, NY

NPI number 1376089292 Active

Practice location

12 Woods Dr
Port Jefferson Station, NY 11776-3600

Call (631) 807-6566 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1097304171 (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 1376089292

Michelle Denhartog, BA's National Provider Identifier is 1376089292, issued on Jan 17, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jan 17, 2017.