Charmaine Mack

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Practice address

99 Johnston Ave # 2
Cohoes, NY 12047-2414

Phone

(518) 788-7121

Fax

(518) 238-3782

NPI assigned

May 27, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1124959291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 JOHNSTON AVE # 2",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120472414",
            "telephone_number": "518-788-7121",
            "fax_number": "518-238-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 JOHNSTON AVE # 2",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120472414",
            "telephone_number": "518-788-7121",
            "fax_number": "518-238-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "CHARMAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raoul A Lim, MD
• Sydney Anne Lim, MD
• Jennifer Ellen Lindstrom, M.D.
• Katheleen A Lodico, LMSW
• Joann Welch Lyons
• Krishna Sireesha Madala, MD
• Suzanne Maloy
• Jessica Len Marchese, RPH
• Rachel Leigh Marer, R.N.
• Marius Killian Nikolas Ditursi MD PC

• Phlebotomy Technician in Cohoes, NY
• Providers in Cohoes, NY by specialty
• Phlebotomy Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.