Dr Edward J Mack, MD | |
79 Middleville Road, Chief Of Staff Office(11), Northport, NY 11768 | |
(631) 261-4400 | |
Not Available |
Full Name | Dr Edward J Mack |
---|---|
Gender | Male |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 79 Middleville Road, Northport, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134148836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 131445 (New York) | Primary |
Mailing Address | Practice Location Address |
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Dr Edward J Mack, MD 79 Middleville Road, Northport Vamc, Chief Of Staff Office(11), Northport, NY 11768 Ph: (631) 261-4400 | Dr Edward J Mack, MD 79 Middleville Road, Chief Of Staff Office(11), Northport, NY 11768 Ph: (631) 261-4400 |
Dr. Basem Sadek Elfaham, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 9 Woodfield Ave, Northport, NY 11768 Phone: 631-553-6855 | |
Troy Everett Dixon, M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 Fax: 631-544-5315 | |
Dr. Gerald Vincent Cruise, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Dr. Enrique Pastoriza-munoz, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 79 Middleville Road, Va Medical Center - 111r, Northport, NY 11768 Phone: 631-261-4400 Fax: 631-544-5315 | |
Dr. Audun Joachim Lier, M.D., M.P.H. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 79 Middleville Rd Rm 111, Northport, NY 11768 Phone: 631-261-4400 | |
Andres Lopez, Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 | |
Athena Zias Dilena, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-261-4400 |