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NPI Code Detail

MEDICARE: MS. MACKLAINE M VIELOT

MEDICARE: MS. MACKLAINE M VIELOT
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
1171M00000XCase Manager/Care Coordinator11024NY

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 : 1922354216
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MACKLAINE M VIELOT
Provider Business Mailing Address
First Line : 2855 OCEAN AVE
Second Line : 2F
City : BROOKLYN
State : NY
Zip : 11235-3165
Country : US
Telephone Number : 718-877-6914
Fax Number :
Provider Business Practice Location Address
First Line : 827 CLARKSON AVE
Second Line : TOP FLOOR
City : BROOKLYN
State : NY
Zip : 11203-2256
Country : US
Telephone Number : 718-735-7151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2012
Last Update Date : 07/24/2012

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Directions to “ MS. MACKLAINE M VIELOT ” Practice Location

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