Mackowiak, Meghan Colleen

Mackowiak, Meghan Colleen is an individual health care provider with primary practice located at 1143 47Th Ave , Long Island City NY 11101-5465. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mackowiak, Meghan Colleen can be contacted via phone (718) 551-3515.

Contact Information

Primary practice address
1143 47Th Ave Long Island City NY 11101-5465
Phone: (718) 551-3515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 38 382221 New York

Profile Details

NPI number 1184905192
LBN Legal business name Mackowiak, Meghan Colleen
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2011
Last updated Jun 17th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184905192 NPPES
New York MEDICAID 03713715

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