Individual
PROF. DAVID MAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
169 PUTNAM HALL, STONY BROOK UNIVERSITY - SOUTH CAMPUS, STONY BROOK, NY 11794-1595
(631) 632-3096
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 632-3785
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012396
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01905393
—
NY
Enumeration date
06/12/2006
Last updated
10/15/2015
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