Basic Information
| Provider Information | |||||||||
| NPI: | 1184726929 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MAKAR | ||||||||
| FirstName: | JULIE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
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| Credential: | LCSW-R | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | JOHNSON | ||||||||
| OtherFirstName: | JULIE | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 800 CARTER STREET | ||||||||
| Address2: | ATTN: KELLY STEELE | ||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 14621 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5853394793 | ||||||||
| FaxNumber: | 5853364845 | ||||||||
| Practice Location | |||||||||
| Address1: | 1185 SWEET HOME RD | ||||||||
| Address2: | AMHERST UNIVERSITY HEALTH CENTER | ||||||||
| City: | AMHERST | ||||||||
| State: | NY | ||||||||
| PostalCode: | 14226 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7166890040 | ||||||||
| FaxNumber: | 7165682330 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/02/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 033204 | NY | Y | Behavioral Health & Social Service Providers | Social Worker |
ID Information
| ID | Type | State | Issuer | Description | 6290246 | 01 | NY | IHA # | OTHER | 00011283003 | 01 | NY | UNIVERA # | OTHER | 050421000077 | 01 | NY | FIDELIS CARE # | OTHER | 000524634007 | 01 | NY | HEALTH NOW BCBS # | OTHER | 177953FK | 01 | NY | PREFERRED CARE # | OTHER |