Julie Macanka

NPI #1497540454 in Copiague, New York

Provider Information

NPI Number: 1497540454
Entity Type: Individual
Name: Julie Macanka
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Apr 10, 2025
Last Updated: Apr 10, 2025

Practice Location

Address: 190 TROUVILLE RD
City: Copiague
State: New York
ZIP Code: 11726-3513
Phone: (631) 229-6189

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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