Michelle Katherine Deleon, MSED
Individual provider Active NPI Specialist · Coeymans, NY
NPI 1174059935 · NPPES record last updated May 11, 2017
Key facts
- NPI
- 1174059935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 447298 (NY)
- Practice address
- 24 Church St
Coeymans, NY 12045-7711 - Phone
- (631) 987-7837
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 447298 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Therapy, P.L.L.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 447298 | NY | Yes |
Addresses
Primary practice location
24 Church St
Coeymans, NY 12045-7711
Mailing address
1 Rapp Rd
Albany, NY 12203-4491
Phone (518) 867-3061
Other providers in Coeymans, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.