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NPI Code Detail

MEDICARE: MR. BRYAN MAKOWER DPM

MEDICARE: MR. BRYAN MAKOWER DPM
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
1213ES0103XFoot & Ankle Surgery PodiatristN003865NY

General Provider Information

NPI Number : 1548221708
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRYAN MAKOWER DPM
Provider Business Mailing Address
First Line : 635 2ND ST
Second Line : 635 SECOND STREET
City : BROOKLYN
State : NY
Zip : 11215-2601
Country : US
Telephone Number : 718-282-6333
Fax Number : 718-756-0545
Provider Business Practice Location Address
First Line : 443 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2821
Country : US
Telephone Number : 718-282-6333
Fax Number : 718-756-0545
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2006
Last Update Date : 02/16/2011

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