Individual
DR. ERIC MAKOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 STEVENS AVE, SUITE 609, MOUNT VERNON, NY 10550-2686
(914) 663-6663
Mailing address
105 STEVENS AVE, SUITE 609, MOUNT VERNON, NY 10550-2686
(914) 663-6663
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
190317
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
190317
NY
207RP1001X
Pulmonary Disease Physician
Primary
190317
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000201801001
UNITED HEALTHCARE
—
05
—
01897070
—
NY
01
—
190317
HIP
—
01
—
2466949
AETNA US HEALTHCARE HMO (
—
01
—
2475623
AETNA US HEALTHCARE HMO (
—
01
—
2C9321
HEALTHNET
—
01
—
524823030
CIGNA HEALTHCARE HMO
—
01
—
5248234003
CIGNA HEALTHCARE PPO
—
01
—
7521135
AETNA US HEALTHCARE PPO
—
01
—
9640822
G.H.I.
—
01
—
P2120827
OXFORD HEALTH PLAN
—
Enumeration date
10/11/2005
Last updated
07/23/2012
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