Healthcare Provider Details

I. General information

NPI: 1033126727
Provider Name (Legal Business Name): LEE MARKOWITZ DPM, PC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 06/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1387 CASTLE HILL AVE
BRONX NY
10462-4833
US

IV. Provider business mailing address

41 FARVIEW RD
CARMEL NY
10512-3880
US

V. Phone/Fax

Practice location:
  • Phone: 718-829-7455
  • Fax: 718-829-9328
Mailing address:
  • Phone: 718-829-7455
  • Fax: 718-829-9328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN03951
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: