Michelle Ly
Pediatrics | Female
Michelle Ly is a East Setauket, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Michelle Ly is
205 N Belle Mead Rd Ste 250, East Setauket, New York - 11733-3483. She can be contacted on phone at
631-444-4630.
Michelle Ly is a sole proprietor of her business.
NPI number (Unique professional ID) for Michelle Ly is
1285075804 which was assigned by NPPES on 11 Jul, 2013 and it was last updated on 26 Sep, 2019.
Michelle Ly license number is
382766 for Pediatrics (208000000X) in New York.
Michelle Ly is a pediatrician who 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.
Complete Profile:
Michelle Ly basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Michelle Ly |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Michelle Ly address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 205 N Belle Mead Rd Ste 250
East Setauket, NY, 11733-3483
United States |
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| Phone Number : | 631-444-4630 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1285075804 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Jul, 2013 |
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| Last Updated On : | 26 Sep, 2019 |
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Medicare Participation:
Michelle Ly participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9537427828 |
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| Medicare Enrollment ID : | I20171214000367 |
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| Primary Specialty : | Nurse Practitioner |
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| Medical School : | Other |
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| Graduation Year : | 2014 |
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| Accepts Medicare? | Yes. Michelle Ly accepts medicare insurance. |
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Group Practice Association:
Michelle Ly is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Michelle Ly is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Stony Brook Children's Service, University Faculty Practice Corporatio | 8921993551 | 32 | 4 Technology Dr
East Setauket, NY - 117334080
Ph: 6314445437 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michelle Ly are as mentioned. Primary taxonomy code for Michelle Ly is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 163WP0200X | Registered Nurse Pediatrics | No | 648293 | NY |
| 208000000X | Pediatrics | Yes | 382766 | NY |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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100 MONTEGO DR.,
HERCULES, CA, 94547
United States | HERCULES, CA | 510-685-0666 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1559
Stony Brook, NY, 11790-0989
United States |
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| Phone Number : | 631-444-0650 |
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Business Location:
Patients can refer following map for directions to
Michelle Ly practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.