Individual
MAGDIMAR MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
18 POPLAR GARDEN LN APT B, ROCHESTER, NY 14606-4838
(585) 993-4294
Mailing address
18 POPLAR GARDEN LN APT B, ROCHESTER, NY 14606-4838
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VYT202463721
—
NY
Enumeration date
02/28/2018
Last updated
02/28/2018
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