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General NPI Number Information
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NPI Number | 1619398823
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Entity Type | Organization
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Legal Business Name | MARK DRAKOS MD PLLC
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Dates
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Enumeration Date | 12/16/2013
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 523 E 72ND ST
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City | NEW YORK
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State | NY
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Zip | 10021-4099
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Country | US
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Telephone | 212-606-1112
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Fax | 516-794-0215
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Provider Business Mailing Address
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Address Line | 333 EARLE OVINGTON BLVD STE 101
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City | UNIONDALE
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State | NY
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Zip | 11553-3645
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Country | US
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Telephone | 212-606-1112
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Fax | 516-794-0215
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. MARK DRAKOS
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Credential | MD
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Telephone | 212-606-1112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 233502
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License Number State | NY
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