Organization
RICHARD J. MACKOOL, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JONATHAN MACKOOL MD (MAJORITY MEMBER)
(718) 728-3400
Entity
Organization
Contact information
Practice address
3127 41ST ST, ASTORIA, NY 11103-3901
(718) 728-3400
(718) 721-7562
Mailing address
3127 41ST ST, ASTORIA, NY 11103-3901
(718) 728-3400
(718) 721-7562
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
07/23/2006
Last updated
08/22/2020
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