Mack, Edward J
Mack, Edward J is an individual health care provider with primary practice located at 79 Middleville Road Chief Of Staff Office(11), Northport NY 11768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Mack, Edward J can be contacted via phone (631) 261-4400.Contact Information
Primary practice address
79 Middleville Road Chief Of Staff Office(11)
Northport NY 11768
Phone: (631) 261-4400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 131445 | New York |
Profile Details
| NPI number | 1134148836 |
|---|---|
| LBN Legal business name | Mack, Edward J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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