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NPI Code Detail

MEDICARE: MARK MAKAR MD

MEDICARE: MARK MAKAR 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
1207Q00000XFamily Medicine Physician325118NY

General Provider Information

NPI Number : 1265059653
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK MAKAR MD
Provider Business Mailing Address
First Line : 33 LEWIS RD
Second Line : FL 2
City : BINGHAMTON
State : NY
Zip : 13905
Country : US
Telephone Number : 607-770-0025
Fax Number :
Provider Business Practice Location Address
First Line : 15 BIRDSALL ST
Second Line :
City : GREENE
State : NY
Zip : 13778-1057
Country : US
Telephone Number : 607-656-4115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2020
Last Update Date : 07/19/2023

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