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Contact Information

PHYLLIS MACCHIO, NP
75 N COUNTRY RD
PORT JEFFERSON, NY11777-2119
 Phone: 631-473-1320
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PHYLLIS MACCHIO · (Female)

NPI # 1699088955
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/15/2010
Last updated 07/15/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # F300768-1 NP
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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