Theresa Mackhanlall
NPI #1154510642 in Middle Island, New York
Provider Information
- NPI Number
- 1154510642
- Entity Type
- Individual
- Name
- Theresa Mackhanlall
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Oct 19, 2007
- Last Updated
- Oct 19, 2007
Practice Location
- Address
- 9 CREST CT
- City
- Middle Island
- State
- New York
- ZIP Code
- 11953-2135
- Phone
- (631) 775-6089
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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