Provider Demographics
NPI:1285065458
Name:STRICK, MICHAL
Entity type:Individual
Prefix:MRS
First Name:MICHAL
Middle Name:
Last Name:STRICK
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MICHAL
Other - Middle Name:DANA STRICK
Other - Last Name:GINDEA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSED
Mailing Address - Street 1:251 WEST 95TH STREET APT 3C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:847-644-4189
Mailing Address - Fax:
Practice Address - Street 1:251 W 95TH ST APT 3C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6313
Practice Address - Country:US
Practice Address - Phone:847-644-4189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY454325101174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist