STANLEY J MACKOWIAK


Address: 191 Intrepid Ln, Syracuse, NY 13205-2548
Phone: 3154694298

STANLEY J MACKOWIAK (NPI# 1508845470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508845470
Entity Type Individual
Full Name STANLEY J MACKOWIAK
Credential MD
Practice Address 191 Intrepid Ln
Syracuse
NY 13205-2548
Mailing Address 1001 W Fayette St
Ste 400
Syracuse
NY 13204-2859
Practice Telephone 3154694298
Practice Fax Number 3154698506
Mailing Telephone 3154721488
Mailing Fax Number 3154728060
Enumeration Date 2006-01-10
Last Update Date 2008-05-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0205X Pediatrics
Specialization: Pediatric Endocrinology
194170 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 191 INTREPID LN
City SYRACUSE
State NY
Zip Code 13205-2548

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992784995 Geeta A Sangani Internal Medicine 191 Intrepid Ln, Syracuse, NY 13205-2548 2006-01-10
1336653138 Pierre Frison Massage Therapist 191 Intrepid Ln, Syracuse, NY 13205-2548 2017-12-01
1992146054 Colleen Margaret Waltz Curr Nurse Practitioner 191 Intrepid Ln, Syracuse, NY 13205-2548 2013-07-17
1700121654 Donald James Clarke Acupuncturist 191 Intrepid Ln, Syracuse, NY 13205-2548 2012-12-04
1356320600 Jolene B Cook Nurse Practitioner 191 Intrepid Ln, Syracuse, NY 13205-2548 2006-01-14
1457330334 Lana J Cain Family Medicine 191 Intrepid Ln, Syracuse, NY 13205-2548 2006-01-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710473707 Michelle E Case Social Worker 2610 S Salina St Ste 2, Syracuse, NY 13205 2018-07-02
1104332022 Gregory Ramsden Chiropractor 182 Intrepid Ln Ste B, Syracuse, NY 13205 2017-12-15
1619379286 Hope for Us Housing, Inc Home Health 5957 South Salina St, Syracuse, NY 13205 2014-09-25
1861822116 Michael Lee Loudner Registered Nurse 4842 Broad Rd, Syracuse, NY 13205 2013-11-24
1285987537 Teeatta Owens Licensed Practical Nurse 114 Mcclure Ave, Syracuse, NY 13205 2012-10-24
1891082533 Kamaloshini Poovalingam Student in an Organized Health Care Education/Training Program 211 Lafayette Road, 604, Syracuse, NY 13205 2011-07-01
1730483348 Kenneth E. Hoogs Md PC Urology 100 Intrepid Lane, Syracuse, NY 13205 2010-12-23
1699092361 Central Park Nursing Care 4905 S Salina St., Syracuse, NY 13205 2010-04-21
1215170741 Toni Ramele Moore Licensed Practical Nurse 614 W. Seneca Turnpike, Syracuse, NY 13205 2009-04-14
1851536080 Shalanda Cherrise Sutton Licensed Practical Nurse 228 W. Lafayette Rd, Syracuse, NY 13205 2008-12-02
Find all providers in zip 13205

Taxonomy Information

Taxonomy Code 2080P0205X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Endocrinology

Taxonomy Definition

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720004161 Susan Elaine Stred Pediatrics 3229 E Genesee St, Ste. 1, Syracuse, NY 13214-2016 2006-07-15
1477591378 Lauren Elizabeth Lipeski Pediatrics 3229 E Genesee St, Suite 1, Syracuse, NY 13214-2016 2006-06-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861771990 Larisa Anatolievna Rusyn Pediatrics 462 1st Ave Rm 8w52, New York, NY 10016-9196 2011-08-07
1285920314 Yelena Kogelman Pediatrics 6701 Bay Pkwy, Brooklyn, NY 11204-4749 2011-06-27
1326346917 Chitra Sekaran Pediatrics 2 Stonytown Rd, Manhasset, NY 11030-1118 2011-03-05
1497908826 Bronx Pediatrics, PC Pediatrics 2869 Grand Concourse Ste 1, Bronx, NY 10468-1966 2008-10-29
1699927228 Holly Caren Schachner Pediatrics 7 Winslow Pl, Larchmont, NY 10538-2612 2008-10-14
1427212612 Loretta Iazzetti Pediatrics Box 1616, One Gustave Levy Place, New York, NY 10029 2008-07-16
1952565228 Sofia Shapiro Pediatrics 192 Rte 117 Bypass Road, Mount Kisco Medical Group, PC, Bedford Hills, NY 10507-2146 2008-07-15
1528183480 Queens Endocrinology Partners Pediatrics 9320 Roosevelt Ave # A, 2nd Fl, Jackson Heights, NY 11372-7904 2007-03-20
1548396914 Elka E. Jacobson Pediatrics 445 Lenox Road Box 49, Suny Downstate Medical Center Pediactrics, Brooklyn, NY 11203 2007-02-27
1275695298 Paul Saenger Pediatrics 150 Lockwood Ave Ste 34, New Rochelle, NY 10801-4914 2006-12-15
Find all providers with the same taxonomy

Competitor

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City SYRACUSE
Zip Code 13205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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