Individual
JOHANNA MARIE PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2255
(631) 760-2182
Mailing address
8 HORIZON DR, HUNTINGTON, NY 11743-4411
(646) 673-6306
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
276825
NY
Other
Enumeration date
06/30/2011
Last updated
08/18/2014
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