Provider Demographics
NPI:1265571236
Name:MACHAROLA, STEVEN (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:MACHAROLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:42 BUTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-4835
Mailing Address - Country:US
Mailing Address - Phone:516-280-8202
Mailing Address - Fax:516-280-8204
Practice Address - Street 1:255 GLEN COVE RD
Practice Address - Street 2:
Practice Address - City:CARLE PLACE
Practice Address - State:NY
Practice Address - Zip Code:11514-1207
Practice Address - Country:US
Practice Address - Phone:718-217-2896
Practice Address - Fax:718-217-4471
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY206981-4207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY95A771Medicare ID - Type UnspecifiedMEDICARE I.D. NO.