Elisa Sue Macchia
Mental Health Counselor
36 Meadow Ave
Medford
, New York 11763-4319
Elisa Sue Macchia
Mental Health Counselor
36 Meadow Ave
Medford
, New York 11763-4319
(631) 793-4871
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Elisa Sue Macchia
- 36 Meadow Ave
- Medford, NY
- Zip : 11763-4319
- Phone : (631) 793-4871
Second Address
- Elisa Sue Macchia
- 36 Meadow Ave
- Medford, NY
- Zip : 11763-4319
- Phone : (631) 793-4871
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | NY |
National Provider Identifier
| NPI | 1003170150 |
|---|---|
| Provider Name | Elisa Sue Macchia |
| First Address | Medford, NY 11763-4319 |
| Second Address | Medford, NY 11763-4319 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2012 |
| Last Update Date | 03/07/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.