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NPI Code Detail

MEDICARE: MR. STANLEY MAKRINOS PCC-SUPV

MEDICARE: MR. STANLEY MAKRINOS PCC-SUPV
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
1101YP2500XProfessional CounselorE.0003935OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821000118
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STANLEY MAKRINOS PCC-SUPV
Provider Business Mailing Address
First Line : 3268 JEFFERSON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2220
Country : US
Telephone Number : 513-708-8188
Fax Number : 513-677-6624
Provider Business Practice Location Address
First Line : 3268 JEFFERSON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2220
Country : US
Telephone Number : 513-708-8188
Fax Number : 513-708-8188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 03/17/2018

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