MEDICARE: RICHARD LOUIS MARKOWITZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	200488	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2599577	OTHER	NY	GHI
2	P669414	OTHER	NY	OXFORD
3	961772	OTHER	NY	AETNA
4	773161	OTHER	NY	BLUE CROSS BLUE SHIELD
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063414282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD LOUIS MARKOWITZ MD

Provider Business Mailing Address
First Line	:	1553 BROADWAY
Second Line	:
City	:	HEWLETT
State	:	NY
Zip	:	11557
Country	:	US
Telephone Number	:	516-374-1677
Fax Number	:	516-374-8666

Provider Business Practice Location Address
First Line	:	1553 BROADWAY
Second Line	:
City	:	HEWLETT
State	:	NY
Zip	:	11557
Country	:	US
Telephone Number	:	516-374-1677
Fax Number	:	516-374-8666

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	04/14/2020

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