Individual
MINDY CACCIATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5115 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-1042
(718) 734-2779
Mailing address
114 HAMPTON WAY, MERRICK, NY 11566-5025
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001633
NY
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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