# MICHAEL MAK MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912184615
- **Authorized official:** DR. MICHAEL MAK M.D. (OWNER)
- **Authorized official phone:** (718) 327-5400

## Contact information

- **Practice address:** 712A BEACH 20 ST, FAR ROCKAWAY, NY 11691
- **Practice address phone:** (718) 327-5400
- **Practice address fax:** (718) 327-5434
- **Mailing address:** 712A BEACH 20 STREET, FAR ROCKAWAY, NY 11691
- **Mailing address phone:** (718) 327-5400
- **Mailing address fax:** (718) 327-5434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 211790-1 | NY | Yes |

## Other

- **Enumeration date:** 01/24/2008
- **Last updated:** 06/05/2008