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NPI Code Detail

MEDICARE: EMILY MARIE MARACIC

MEDICARE: EMILY MARIE MARACIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1518426097
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY MARIE MARACIC
Provider Business Mailing Address
First Line : 6 SHELLEY DR
Second Line :
City : MASSAPEQUA
State : NY
Zip : 11758-8525
Country : US
Telephone Number : 516-477-7034
Fax Number :
Provider Business Practice Location Address
First Line : 669 BROADWAY
Second Line :
City : MASSAPEQUA
State : NY
Zip : 11758-2314
Country : US
Telephone Number : 516-799-2900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2019
Last Update Date : 03/14/2019

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Directions to “ EMILY MARIE MARACIC ” Practice Location

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