Individual
MS. ANA C MADEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 EXECUTIVE DR, PLAINVIEW, NY 11803-1718
(516) 576-0962
Mailing address
29 ACACIA TER, NEW ROCHELLE, NY 10805-3916
(914) 715-9664
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
758953
NY
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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