MEDICARE: MRS. MAY H MAKKI LCSW-R

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	R046287-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P1070627	OTHER	NY	OXFORD
3	125666	OTHER	NY	VALUE OPTIONS
4	NX7431	OTHER	NY	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1205992674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MAY H MAKKI LCSW-R

Provider Business Mailing Address
First Line	:	7119 SHORE RD APT 3K
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-1832
Country	:	US
Telephone Number	:	917-886-4854
Fax Number	:	718-836-4213

Provider Business Practice Location Address
First Line	:	478 BAY RIDGE PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-2724
Country	:	US
Telephone Number	:	347-618-9060
Fax Number	:	718-836-4213

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	07/03/2017

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