ELISA SUE MACCHIA MASTERS
NPI 1003170150
Counselor - Mental Health in Medford, NY
Active since July 03, 2012
About Elisa Sue Macchia Masters NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISA SUE MACCHIA MASTERS (NPI 1003170150) is an individual mental health provider in Medford, New York and active in the NPI registry since July 2012.
NPPES Registry Identity
NPI1003170150
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELISA SUE MACCHIACredential: MASTERS
Location Address36 MEADOW AVEMedford, NY 11763-4319
Mailing Address36 Meadow AveMedford, NY 11763-4319 · (631) 793-4871
Phone(631) 793-4871
Sole ProprietorYes
Enumeration DateJuly 3, 2012
✔ NPI 1003170150 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
36 MEADOW AVE, Medford, NY 11763
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003170150, enumerated as an "individual" on July 03, 2012.
The provider is located at 36 MEADOW AVE MEDFORD, NY 11763 and the phone number is (631) 793-4871.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
