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:
Health care specialties
Specialty | Code | License # | 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 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184905192 | NPPES |
New York | MEDICAID | 03713715 |
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