| Doctor Name: | DORIT MICHELSON |
| NPI Number: | 1417147695 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | F304052 |
| Business Practice Address: | 5 Grace Church St Port Chester, NY - 105734911 |
| Business Phone Number: | 9149411263 |
| Business Fax Number: | 9149410993 |
| Mailing Address: | 165 Main St, OSSINING |
| State: | NY |
| Postal Code: | 105624702 |
| Phone Number: | 9149411263 |
| Fax Number: | 9149410993 |
| NPI Enumeration Date: | 07/25/2007 |
| NPI Last Update Date: | 03/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | F304052 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |