Most Relevant Information
Provider Data
| NPI Number: | 1003182429 |
| Provider Name: | KATHLEEN MARIE MICHAELIDES |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0200X |
| Specialty: | Occupational Therapist |
| License Number: | 014831 |
Most Important Dates
| Enumeration Date: | 03/29/2012 |
| Last Updated: | 03/29/2012 |
Provider Practice Location
3425 82ND ST
JACKSON HEIGHTS
NY
113722967
Practice Location Phone/Fax
| Phone: | 7188986973 |
| Fax: |
Provider Mailing Location
44 SALISBURY RUN
MOUNT SINAI
NY
117662823
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |