Individual
CAROLYN MACCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.ED
Contact information
Practice address
189 WHEATLEY RD, GLEN HEAD, NY 11545-2641
(516) 921-7171
Mailing address
47 HUMPHREY DR, SYOSSET, NY 11791-4022
(516) 921-7171
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1230267
NY
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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