Individual
PATRICIA CRACCHIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 BROADHOLLOW RD, MELVILLE, NY 11747-4833
(631) 759-4445
Mailing address
21 CROFT LN, SMITHTOWN, NY 11787-4109
(631) 897-1454
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
308760
NY
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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