Search › New York › 171M00000X
Johanna Campos Pacheco
NPI 1982498572 · on the registry since 2025 · sole proprietor
Practice
- Address
- 639 Bond Ct
Merrick, NY 11566 - Phone
- (718) 710-1635
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 104100000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-08
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