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Lissette Machuca
NPI 1760860795 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1905 2nd Ave
4-E
New York, NY 10029 - Phone
- (917) 370-9003
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York