Individual
MADELINE OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 ROOSEVELT AVE STE 300, SYOSSET, NY 11791-3064
(516) 758-4113
(516) 758-4131
Mailing address
2 ROOSEVELT AVE STE 300, SYOSSET, NY 11791-3064
(516) 758-4113
(516) 785-4131
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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