Healthcare Provider Details

I. General information

NPI: 1427265388
Provider Name (Legal Business Name): MAKAR L ESKAROUS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 12/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5774 MOSHOLU AVE APT H
BRONX NY
10471-2200
US

IV. Provider business mailing address

5774 MOSHOLU AVE APT H
BRONX NY
10471-2200
US

V. Phone/Fax

Practice location:
  • Phone: 917-492-7162
  • Fax:
Mailing address:
  • Phone: 917-492-7162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number242238
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: