Individual
GELLI MAE MACARAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 BUCKINGHAM CT, POMONA, NY 10970-3704
(845) 282-1628
Mailing address
72 BUCKINGHAM CT, POMONA, NY 10970-3704
(845) 282-1628
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
828080
NY
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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