IndividualActive
Paul Macy, CPO 02475
NPI 1184334385 · Prosthetist · East Lyme, CT
Provider details
- NPI number
- 1184334385
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CPO 02475
- Sex
- Male
- Sole proprietor
- Yes
Practice location
305 Flanders Rd Unit 6
East Lyme, CT 06333-1743
Phone: (860) 333-5558
Mailing address
305 Flanders Rd Unit 6
East Lyme, CT 06333-1743
Registry dates
- Enumerated
- 2022-11-29
- Last updated
- 2025-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.