Provider Demographics
NPI:1164315065
Name:MIZHIRITSKIY-OOI, MICHELLE LEE (RN)
Entity type:Individual
Prefix:
First Name:MICHELLE LEE
Middle Name:
Last Name:MIZHIRITSKIY-OOI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MICHELLE LEE
Other - Middle Name:
Other - Last Name:OOI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2357 E 14TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4343
Mailing Address - Country:US
Mailing Address - Phone:347-321-5137
Mailing Address - Fax:
Practice Address - Street 1:2357 E 14TH ST APT 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4343
Practice Address - Country:US
Practice Address - Phone:347-321-5137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY713072163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse