Individual
MEGHAN COLLEEN MACKOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1143 47TH AVE, LONG ISLAND CITY, NY 11101-5465
(718) 551-3515
Mailing address
7337 AUSTIN ST, APT 1C, FOREST HILLS, NY 11375-6258
(609) 230-4274
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
38 382221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03713715
—
NY
Enumeration date
09/02/2011
Last updated
06/17/2014
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