Individual
MARTHA MACALUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MLT, RDH BS
Contact information
Practice address
1181 OLD COUNTRY RD, PLAINVIEW, NY 11803-5018
(516) 932-3050
Mailing address
512 N NEWBRIDGE RD, LEVITTOWN, NY 11756-1602
(516) 850-4625
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
024448-1
NY
174400000X
Specialist
024448-1
NY
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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