Provider Demographics
NPI:1912356635
Name:MAKARKINA, ALEVTINA (MSED/SPED)
Entity Type:Individual
Prefix:
First Name:ALEVTINA
Middle Name:
Last Name:MAKARKINA
Suffix:
Gender:F
Credentials:MSED/SPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 E 3RD ST APT 2R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-1909
Mailing Address - Country:US
Mailing Address - Phone:718-404-5590
Mailing Address - Fax:
Practice Address - Street 1:1712 E 3RD ST APT 2R
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-1909
Practice Address - Country:US
Practice Address - Phone:718-404-5590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-03
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1035178161174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist