Individual
MR. DARREN M MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
125 LINCOLN AVE APT B4L, MINEOLA, NY 11501-2837
(516) 728-7846
(516) 739-5441
Mailing address
125 LINCOLN AVE APT B4L, MINEOLA, NY 11501-2837
(516) 728-7846
(516) 739-5441
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005977-1
NY
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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