Individual
MINA MAKARYUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 LAKEVILLE ROAD, SUITE 107, NEW HYDE PARK, NY 11040
(516) 424-1536
Mailing address
410 LAKEVILLE ROAD, SUITE 107, NEW HYDE PARK, NY 11040
(516) 465-5400
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
259676
NY
207RP1001X
Pulmonary Disease Physician
259676
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2009
Last updated
10/29/2024
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