Individual
MARINA MAKAROVSKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2076 HYLAN BLVD, SUITE 2, STATEN ISLAND, NY 10306-3427
(718) 979-4865
(718) 979-1842
Mailing address
7 WEAVER ST, STATEN ISLAND, NY 10312-5403
(718) 614-2282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
242562
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02841647
—
NY
Enumeration date
10/23/2006
Last updated
03/22/2017
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