NPI 1447968441

Eppie Madonia

Practitioner Peer Specialist Riverhead, NY

Practice location

Address: 400 W Main St STE 300, Riverhead, NY 11901-2813
Phone: (631) 508-5004

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1447968441
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2022
Record last updated: 8 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.