PHYLLIS MACCHIO

PORT JEFFERSON, NY
NPI1699088955
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F300768-1 NP)
Enumeration Date2010-07-15
Last Update Date2010-07-15
Business Address
Ms. PHYLLIS MACCHIO NP
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320
Mailing Address
Ms. PHYLLIS MACCHIO NP
PO BOX 5120
MILLER PLACE, NY 11764-1102
Phone number: 631-331-1546