Organization
MICHAEL MAK MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MAK M.D. (OWNER)
(718) 327-5400
Entity
Organization
Contact information
Practice address
712A BEACH 20 ST, FAR ROCKAWAY, NY 11691
(718) 327-5400
(718) 327-5434
Mailing address
712A BEACH 20 STREET, FAR ROCKAWAY, NY 11691
(718) 327-5400
(718) 327-5434
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
211790-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05679M
MEDICARE GHI
NY
01
—
08326G
GHI MEDICARE
NY
01
—
2514262
GHI
NY
01
—
9815737
BLUE CROSS BLUE SHIELD
IL
01
—
P00182147
RAILROAD MEDICARE
IL
01
—
P2927481
OXFORD
NY
Enumeration date
01/24/2008
Last updated
06/05/2008
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