Individual
MARINA EMAD MAKARIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-2985
(718) 920-2058
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-2985
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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