NIDAL MAKHOUL


Address: 52 Tom Miller Road, Plattsburgh, NY 12901-1252
Phone: 5185632404

NIDAL MAKHOUL (NPI# 1063409282) 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) 1063409282
Entity Type Individual
Full Name NIDAL MAKHOUL
Credential MD FACC FACP
Practice Address 52 Tom Miller Road
Plattsburgh
NY 12901-1252
Practice Telephone 5185632404
Practice Fax Number 5185634033
Mailing Telephone 5185632404
Mailing Fax Number 5185634033
Enumeration Date 2005-10-03
Last Update Date 2010-11-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
E0021551 NY Allopathic & Osteopathic Physicians
Y 207UN0901X Nuclear Medicine
Specialization: Nuclear Cardiology
238355 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY DEA BM5958751 01
NY 02041707 05

Office Location

Street Address 52 TOM MILLER ROAD
City PLATTSBURGH
State NY
Zip Code 12901-1252

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1124565783 Mytchel Hector Registered Nurse 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 2017-01-20
1780136697 Michael Bruso Psychologist 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 2016-10-26
1902357536 Ashley Patricia Cota Nurse Practitioner 214 Cornelia St., Plattsburgh, NY 12901 2016-10-19
1255703310 Kenneth Wayne Ackley Licensed Practical Nurse 16 Ampersand Drive, Plattsbugh, NY 12901 2015-10-28
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Taxonomy Information

Taxonomy Code 207UN0901X
Grouping Allopathic & Osteopathic Physicians
Classification Nuclear Medicine
Specialization Nuclear Cardiology

Taxonomy Definition

A nuclear medicine physician who specializes in nuclear cardiology.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356985683 Robe Zack Olanz Md Oles Nuclear Medicine 401 7th Ave, New York, NY 10001-3463 2019-10-30
1326552548 Sylvan Healthcare Inc Nuclear Medicine 849 57th St Ste 801, Brooklyn, NY 11220-3797 2017-11-27
1629505003 Gramercy Cardiology, PC Nuclear Medicine 131 W 35th St # 700, New York, NY 10001-2111 2017-05-17
1912329467 Kings Medical Services PC Nuclear Medicine 1847 Utica Ave, 1st Fl, Brooklyn, NY 11234-2122 2014-01-16
1962832485 Gold Coast Cardiology PC Nuclear Medicine 370 Northern Blvd, Great Neck, NY 11021-4813 2013-11-19
1568727782 New York Cardiac, P.C. Nuclear Medicine 5 Jeanne Dr Ste 5, Newburgh, NY 12550-1797 2012-07-13
1194016618 Gramercy Cardiac Diagnostic Services, P.C. Nuclear Medicine 2329 Nostrand Ave, 600, Brooklyn, NY 11210-3839 2011-05-02
1366776700 Gramercy Cardiac Diagnostic Svcs P.C. Nuclear Medicine 90 Moore St, Unit 1a, Brooklyn, NY 11206-3353 2009-10-01
1447584883 Gramercy Cardiac Diagostic Svcs P.C. Nuclear Medicine 9617 Astoria Blvd, East Elmhurst, NY 11369-1815 2009-10-01
1366691610 Metro Physician Associates LLP Nuclear Medicine 1973 University Blvd, Bronx, NY 10453-4404 2008-09-11
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Competitor

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City PLATTSBURGH
Zip Code 12901

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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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