MICHELLE LY (NPI# 1285075804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285075804 |
| Entity Type | Individual |
| Full Name | MICHELLE LY |
| Practice Address |
205 N Belle Mead Rd Ste 250 East Setauket NY 11733-3483 |
| Mailing Address |
Po Box 1559 Stony Brook NY 11790-0989 |
| Practice Telephone | 6314444630 |
| Mailing Telephone | 6314440650 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
648293 | NY | Nursing Service Providers |
| Y | 208000000X | Pediatrics | 382766 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Montego Dr., Hercules, CA 94547 | 5106850666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643182 | Michelle Ly | Dietitian, Registered | 732 Harrison Ave Fl 2, Boston, MA 02118-2309 | 2020-09-08 |
| 1992328058 | Michelle Ly | Dentist | 4802 E Ray Rd Ste 19, Phoenix, AZ 85044-6410 | 2020-05-24 |
| 1588215818 | Michelle Ly | Counselor | 9015 Murray Ave Ste 100, Gilroy, CA 95020-3617 | 2019-09-27 |
| 1609302488 | Michelle Ly | Pharmacist | 8400 Rosedale Hwy, Bakersfield, CA 93312-2151 | 2017-05-11 |
| 1730638784 | Michelle Ly | Pharmacist | 12254 Bellflower Blvd, Downey, CA 90242-2804 | 2016-09-30 |
| 1679716526 | Michelle Ly | Marriage & Family Therapist | 3636 5th Ave, Suite 203, San Diego, CA 92103-4281 | 2009-04-08 |
| 1811161870 | Michelle W Ly | Emergency Medicine | 17772 Beach Blvd, Huntington Beach, CA 92647-6819 | 2008-04-21 |
| 1356545008 | Michelle Chau Ly | Counselor | 160 E Virginia St, # 280, San Jose, CA 95112 | 2007-06-14 |
| Street Address |
205 N BELLE MEAD RD STE 250 |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-3483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053519777 | Saiqa Haque Nabi | Pediatrics | 4 Technology Dr Ste 250, East Setauket, NY 11733-4085 | 2007-07-03 |
| 1437582103 | Shelly Beth Waldman | Pediatrics | 4 Technology Dr, East Setauket, NY 11733-4080 | 2013-08-16 |
| 1598101180 | Vicki Kumari Masson | Pediatrics | 4 Technology Dr, East Setauket, NY 11733-4080 | 2013-05-22 |
| 1396049847 | Michelle Tobin | Pediatrics | 4 Technology Drive, East Setauket, NY 11733 | 2010-12-26 |
| 1639354269 | Grace N Gathungu | Pediatrics | 37 Research Way, East Setauket, NY 11733-3465 | 2008-01-02 |
| 1578509154 | Leslie Quinn' | Pediatrics | 4 Technology Dr, East Setauket, NY 11733-4080 | 2006-06-21 |
| 1639110729 | Robyn Blair | Pediatrics | 4 Technology Dr, East Setauket, NY 11733-4080 | 2006-06-09 |
| 1407894397 | Latha Chandran | Pediatrics | 4 Technology Dr, East Setauket, NY 11733-4080 | 2006-06-03 |
| 1669432266 | James Nielsen | Pediatrics | 4 Technology Dr, Suite 2, East Setauket, NY 11733-4080 | 2006-03-27 |
| 1861490252 | Bernard Lau | Pediatrics | 4 Technology Dr, Suite 250, East Setauket, NY 11733-4080 | 2005-07-11 |
| Find all providers in EAST SETAUKET | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.