Individual
GREGORY MACINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
975 STEWART AVE, GARDEN CITY, NY 11530-4816
(516) 222-8625
(516) 745-5476
Mailing address
975 STEWART AVE, GARDEN CITY, NY 11530-4816
(516) 222-8625
(516) 745-5476
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
165228
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01105691
—
NY
Enumeration date
05/01/2006
Last updated
02/23/2021
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