Individual provider · Type 1 NPI

Michele Licht

Diagnostic Radiology Physician · New York, NY

NPI number 1457390171 Active

Practice location

425 W 59th St
New York, NY 10019-1104

Call (212) 590-2930 Map

Mailing address

1780 Broadway, Suite 1100
New York, NY 10019-1414

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X208250 (NY)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1457390171

Michele Licht's National Provider Identifier is 1457390171, issued on Jun 6, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.