Individual provider · Type 1 NPI

Michelle Anne McKennalittle, M.S.

Specialist · Deer Park, NY

NPI number 1376807792 Active

Practice location

20 Jessen Ave
Deer Park, NY 11729-5421

Call (631) 796-8985 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1150328 (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 1376807792

Michelle Anne McKennalittle, M.S.'s National Provider Identifier is 1376807792, issued on Jun 29, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Deer Park, NY. The record was last updated on Jun 29, 2012.