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NPI Code Detail

MEDICARE: HAZEL JOY ACALA YGSI

MEDICARE: HAZEL JOY ACALA YGSI
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
1390200000XStudent in an Organized Health Care Education/Training ProgramNY

General Provider Information

NPI Number : 1932031184
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAZEL JOY ACALA YGSI
Provider Business Mailing Address
First Line : 950 SOUTH OYSTER BAY ROAD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3150
Country : US
Telephone Number : 516-822-6111
Fax Number :
Provider Business Practice Location Address
First Line : 950 SOUTH OYSTER BAY ROAD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3510
Country : US
Telephone Number : 516-822-6111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/03/2026

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Directions to “ HAZEL JOY ACALA YGSI ” Practice Location

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