Marianna Makrides, PA
Physician Assistant in Stamford, CT. Individual provider (NPI-1).
NPI number1104697309
StatusActive
Last updated in NPPESJan 16, 2024
Details
- NPI
- 1104697309
- Entity type
- Individual (NPI-1)
- Name
- Miss Marianna Makrides
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2024
- Certification date
- Oct 10, 2023
- Last updated
- Jan 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 031212 | NY | Yes |
| 363A00000X | Physician Assistant | 6402 | CT |
Practice location
26 Wascussee LnStamford, CT 06902-7027
Phone 203-550-1155
Mailing address
26 Wascussee LnStamford, CT 06902-7027
Phone 203-550-1155
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