Provider Demographics
NPI:1154556884
Name:AUERBACH, MICHELLE J (DO)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:J
Last Name:AUERBACH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:792 N MAIN ST
Mailing Address - Street 2:STE 100A
Mailing Address - City:NORTH SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212-1644
Mailing Address - Country:US
Mailing Address - Phone:315-423-9722
Mailing Address - Fax:315-423-9687
Practice Address - Street 1:935 JAMES ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-2502
Practice Address - Country:US
Practice Address - Phone:315-422-2222
Practice Address - Fax:315-472-8497
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2018-10-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101018173207V00000X
NY269890207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology