Individual
MISS ANA MIRIAM MACHUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
8421 LANDER ST, BRIARWOOD, NY 11435-2040
(347) 683-8777
Mailing address
8421 LANDER ST, BRIARWOOD, NY 11435-2040
(347) 683-8777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
018204
NY
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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