Healthcare Provider Details
I. General information
NPI: 1750967105
Provider Name (Legal Business Name): MARIA MAKATOFF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/23/2021
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
127 NORTH ST
BATAVIA NY
14020-1631
US
IV. Provider business mailing address
211 E MAIN ST
BATAVIA NY
14020-2231
US
V. Phone/Fax
- Phone: 585-344-5428
- Fax:
- Phone: 585-815-6760
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 345616 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: