Basic Information
Provider Information
NPI: 1578644886
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OXIER
FirstName: MICHELE
MiddleName: N
NamePrefix:  
NameSuffix:  
Credential: LMSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10915 QUEENS BLVD
Address2: APT 1H
City: FOREST HILLS
State: NY
PostalCode: 113755482
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: FEGS REGO PARK CENTER
Address2: 97-45 QUEENS BLVD PH
City: REGO PARK
State: NY
PostalCode: 113742101
CountryCode: US
TelephoneNumber: 7188969090
FaxNumber: 7188300724
Other Information
ProviderEnumerationDate: 10/17/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X068472-1NYY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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