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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDWARD J MACK, MD

Active

DR. EDWARD J MACK, MD is a Gastroenterology healthcare provider located in NORTHPORT, New York. NPI 1134148836 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · NORTHPORT, NY

Registration Details

NPI Number
1134148836
Provider Type
Individual
Gender
Male
NPI Issued
Jul 19, 2006 (20.084212688122 yrs)
Last Updated
Jul 8, 2007
License
131445 (NY)

Practice Information

Address
79 MIDDLEVILLE ROAD
CHIEF OF STAFF OFFICE(11)
NORTHPORT, NY, 11768
Browse NY providers · Browse ZIP 11768
Phone
6312614400
Primary Specialty
Gastroenterology
207RG0300X

Other Gastroenterology Providers in NORTHPORT, NY

Name Credential NPI
DR. YOUNGHEE J LIMB M.D. 1811961766
DR. JOANNE JULIA HOLLAND M.D. 1225090582
DR. SHING-SHING YEH MD, PHD 1821051798
DR. SABAHAT MAHMOOD MD 1437112208
DR. LINDA MARIE HONKANEN MD 1538112768
DR. HILLARY DIAMOND M.D. 1902967011
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.