Nurse Practitioner, Pediatrics
Ms. MICHELLE CEO C.P.N.P.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1578709119 · enumerated 2009-01-04 · record updated 2013-12-12. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location HSC T19-068 NICHOLS RD., STONY BROOK, NY, 11794 (631) 444-2045 Fax (631) 444-8862 Google Maps Apple Maps OpenStreetMap
- Mailing address HSC T19-068 NICHOLS RD., STONY BROOK UNIVERSITY MEDICAL CENTER, STONY BROOK, NY, 11794 (631) 444-2045 Fax (631) 444-8862 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · License F381993 NY
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 381993 NY
In this directory
NY Suffolk County Stony Brook Nurse Practitioner, Pediatrics
Locations and evidence
-
Practice location
STONY BROOK, NY, 11794
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.