Mikaela Carvalho

NPI #1548627037 in Selden, New York

Provider Information

NPI Number: 1548627037
Entity Type: Individual
Name: Mikaela Carvalho
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jan 28, 2016
Last Updated: Jan 28, 2016

Practice Location

Address: 34 MAPLEWOOD AVE
City: Selden
State: New York
ZIP Code: 11784-3014
Phone: (631) 312-6736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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