Organization
PHILIP J. MAKOWSKI, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP J MAKOWSKI M.D. (PRESIDENT)
(631) 395-9144
Entity
Organization
Contact information
Practice address
2 CORACI BLVD, SUITE 17, SHIRLEY, NY 11967-4833
(631) 395-9144
(631) 395-9167
Mailing address
2 CORACI BLVD, SUITE 17, SHIRLEY, NY 11967-4833
(631) 395-9144
(631) 395-9167
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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