Individual
STANLEY J MACKOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
191 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 469-4298
(315) 469-8506
Mailing address
1001 W FAYETTE ST, STE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 472-8060
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
194170
NY
Other
Enumeration date
01/10/2006
Last updated
05/12/2008
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