| Doctor Name: | MRS. ELYANE L MICHNICK |
| NPI Number: | 1033315544 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 340647 |
| Business Practice Address: | 6 Corporate Dr Suite 420 Shelton, CT - 064846270 |
| Business Phone Number: | 2039259600 |
| Business Fax Number: | 2039260594 |
| Mailing Address: | 494 Genesee Ave, STATEN ISLAND |
| State: | NY |
| Postal Code: | 103123206 |
| Phone Number: | 7189483716 |
| Fax Number: | |
| NPI Enumeration Date: | 06/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 340647 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |