MR. DARREN M MACK


Address: 125 Lincoln Ave Apt B4l, Mineola, NY 11501-2837
Phone: 5167287846

MR. DARREN M MACK (NPI# 1184899551) 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) 1184899551
Entity Type Individual
Full Name MR. DARREN M MACK
Credential RPA-C
Practice Address 125 Lincoln Ave Apt B4l
Mineola
NY 11501-2837
Practice Telephone 5167287846
Practice Fax Number 5167395441
Mailing Telephone 5167287846
Mailing Fax Number 5167395441
Enumeration Date 2008-04-28
Last Update Date 2008-04-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
005977-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers DARREN MACK

NPI Name Taxonomy Address Enumeration
1356949028 Darren Garold Mack Pharmacist 1583 Highway 10 W, Detroit Lakes, MN 56501-2232 2020-10-14
1366679318 Darren Joseph Mack Urology 770 Medical Park Dr, Aiken, SC 29801-6307 2009-06-17

Office Location

Street Address 125 LINCOLN AVE APT B4L
City MINEOLA
State NY
Zip Code 11501-2837

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710500350 Steve Abraham Simon Student in an Organized Health Care Education/Training Program 222 Station Plaza, Suite 509, Mineola, NY 11501 2020-05-18
1407478167 Frederick Milton Bosoy Student in an Organized Health Care Education/Training Program 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 2020-05-15
1982226130 Katelyn Anne Fowler Counselor [email protected], 410 East Jericho Tpke, Mineola, NY 11501 2020-05-11
1225667819 New York Dialysis Services, Inc Clinic/Center 1 East Jericho Turnpike, Mineola, NY 11501 2020-04-06
1518500032 Irina Victoria Kushnareva Social Worker 126 Saville Rd, Mineola, NY 11501 2019-10-28
1861046336 Milagros M Matias Case Manager/Care Coordinator 39 E. Jericho Turnpike, Mineola, NY 11501 2019-08-01
1154974244 Bahram Dabiri Student in an Organized Health Care Education/Training Program 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 2019-07-18
1972168748 Nabeel A. Arain Physician Assistant 251 1st St., Mineola, NY 11501 2019-05-07
1598328940 Ramsha Jabbar Student in an Organized Health Care Education/Training Program 222 Station Plaza North, Suite 305, Mineola, NY 11501 2019-04-20
1235628850 Valentyna Erstenyuk Student in an Organized Health Care Education/Training Program 222 Station Plaza N, Suite 611, Mineola, NY 11501 2018-05-09
Find all providers in zip 11501

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417384173 Christopher Thomas Donohue Physician Assistant 134 Mineola Blvd Fl 2, Mineola, NY 11501 2013-09-26
1972785129 Glenn Glantz Physician Assistant 259 1st St # Gp4, Winthrop University Hospital - Tcv, Mineola, NY 11501-3957 2007-11-29
1487875001 Lauren Miele Physician Assistant 259 First Street, Winthrop University Hospital Gp4, Mineola, NY 11501 2007-05-01
1538645072 Katie Fargnoli Physician Assistant 259 1st St, Mineola, NY 11501-3957 2018-07-18
1891214391 Fabio Deoliveira Physician Assistant 259 1st St, Mineola, NY 11501-3957 2017-09-15
1265951032 Yesenia Gonzalez Physician Assistant 259 1st St, Mineola, NY 11501-3957 2017-09-13
1427411271 Brittany Yanora Physician Assistant 259 1st St, Mineola, NY 11501-3957 2016-03-30
1245656222 Michael Maglione Physician Assistant 259 1st St, Mineola, NY 11501-3957 2014-03-13
1245666247 Branden Roger Vuolo Physician Assistant 259 1st St, Mineola, NY 11501-3957 2013-09-23
1588908016 Nycole Abela Physician Assistant 259 1st St, Mineola, NY 11501-3957 2012-11-21
Find all providers in MINEOLA

Competitor

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City MINEOLA
Zip Code 11501

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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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