Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN MICHIEL, PA-C, MPAS
ActiveJORDAN MICHIEL, PA-C, MPAS is a Physician Assistant healthcare provider located in LAKE RONKONKOMA, New York. NPI 1114466216 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAKE RONKONKOMA, NY
Registration Details
- NPI Number
- 1114466216
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2017 (9.4656901109606 yrs)
- Last Updated
- Feb 22, 2017
- License
-
020649 (NY)
Practice Information
- Address
-
25 WEICHERS STLAKE RONKONKOMA, NY, 117793325Browse NY providers · Browse ZIP 11779
- Phone
- 6319224617
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LAKE RONKONKOMA, NY
| Name | Credential | NPI |
|---|---|---|
| ANISA ALI-PEREZ | PA | 1255370540 |
| BRITTANY KISS | PA-C, DAT | 1386197085 |
| AUSTIN D PRINCE | — | 1821768557 |
| CARMELA BAYER | PA-C | 1285446609 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.