Individual
MICHELLE MACCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3656 LEE RD, JEFFERSON VALLEY, NY 10535-1512
(914) 245-1222
Mailing address
104 EAGLES RIDGE RD, BREWSTER, NY 10509-1130
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009560
NY
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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