Most Relevant Information
Provider Data
| NPI Number: | 1003360702 |
| Provider Name: | MICHELLE SUBERI |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/10/2016 |
| Last Updated: | 08/10/2016 |
Provider Practice Location
29 DEVON RD
ALBERTSON
NY
115072039
Practice Location Phone/Fax
| Phone: | 7187811985 |
| Fax: |
Provider Mailing Location
29 DEVON RD
ALBERTSON
NY
115072039
Provider Mailing Phone/Fax
| Phone: | 7187811985 |
| Fax: |