Individual provider · Type 1 NPI
Phyllis Macchio, NP
Adult Health Nurse Practitioner · Port Jefferson, NY
NPI number
1699088955
Active
Practice location
75 N Country Rd
Port Jefferson, NY 11777-2119
Mailing address
PO Box 5120
Miller Place, NY 11764-1102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F300768-1 NP (NY) |
Adult Health Nurse Practitioner: Definition to come...
340 other providers at this address
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About NPI 1699088955
Phyllis Macchio, NP's National Provider Identifier is 1699088955, issued on Jul 15, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Port Jefferson, NY. The record was last updated on Jul 15, 2010.