Stanley J Mackowiak
Pediatric Endocrinologist
191 Intrepid Ln
Syracuse
, New York 13205-2548
Stanley J Mackowiak
Pediatric Endocrinologist
191 Intrepid Ln
Syracuse
, New York 13205-2548
(315) 472-8060
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About
Features
Specialties
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Stanley J Mackowiak
- 1001 W Fayette St Ste 400
- Syracuse, NY
- Zip : 13204-2859
- Fax : (315) 472-8060
- Phone : (315) 472-1488
Second Address
- Stanley J Mackowiak
- 191 Intrepid Ln
- Syracuse, NY
- Zip : 13205-2548
- Fax : (315) 469-8506
- Phone : (315) 469-4298
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0205X | Pediatric Endocrinologist | 194170 | NY |
National Provider Identifier
| NPI | 1508845470 |
|---|---|
| Provider Name | Stanley J Mackowiak |
| First Address | Syracuse, NY 13204-2859 |
| Second Address | Syracuse, NY 13205-2548 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2006 |
| Last Update Date | 12/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D88458 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.