Cda Medical, Pllc

NPI #1134088156 in Stony Brook, New York

Provider Information

NPI Number: 1134088156
Entity Type: Organization
Organization Name: Cda Medical, Pllc
Primary Specialty: Community Health Worker
Enumeration Date: Jan 16, 2026
Last Updated: Jan 16, 2026

Practice Location

Address: 207 HALLOCK RD
Address 2: SUITE 201
City: Stony Brook
State: New York
ZIP Code: 11790
Phone: (877) 358-8648

Authorized Official

Name: JUANA SLACK
Title: MEDICAL BILLING SPECIALIST
Phone: (480) 646-9086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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