EDWARD J MACK

NORTHPORT, NY
NPI1134148836
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
(Licence: NY  131445)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
Dr. EDWARD J MACK MD
79 MIDDLEVILLE ROAD CHIEF OF STAFF OFFICE(11)
NORTHPORT, NY 11768
Phone number: 631-261-4400
Mailing Address
Dr. EDWARD J MACK MD
79 MIDDLEVILLE ROAD NORTHPORT VAMC, CHIEF OF STAFF OFFICE(11)
NORTHPORT, NY 11768
Phone number: 631-261-4400
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