Individual
BIBI MACOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,ED SBL
Contact information
Practice address
63-25 DRY HARBOR ROAD, MIDDLE VILLAGE, NY 11379
(646) 662-2747
Mailing address
63-25 DRY HARBOR ROAD, MIDDLE VILLAGE, NY 11379
(646) 662-2747
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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