Ivan Mak
Athletic Trainer · Bayside, NY
Practice location
22205 56TH AveBayside, NY 11364-1432
- Phone
- (718) 281-5191
NPI record
- NPI
- 1649870569
- Entity type
- Individual (Type 1)
- Enumeration date
- October 29, 2020
- Last updated
- October 29, 2020
- Certified
- October 26, 2020
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Athletic Trainer Primary | 2255A2300X |
002005-1 | NY |
Mailing address
222-19 B 69 Ave.Oakland Gardens, NY 11364
About Ivan Mak
Ivan Mak is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 22205 56TH Ave, Bayside, NY 11364-1432. The NPI number 1649870569 was assigned on October 29, 2020 and the record was last updated on October 29, 2020.
Ivan Mak lists a license in the registry: #002005-1 (NY) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Ivan Mak?
The NPI number is 1649870569.
What is the phone number of Ivan Mak?
The phone number listed for the practice location is (718) 281-5191.
Where is Ivan Mak located?
22205 56TH Ave, Bayside, NY 11364-1432.
What is the taxonomy code for Ivan Mak?
The primary taxonomy code is 2255A2300X – Athletic Trainer.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Athletic Trainer providers in Bayside
- Michael T. Schmidt, ATC1875 Corporal Kennedy St
- Won Jae Lee, ATC21212 41st Ave