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NPI Code Detail

MEDICARE: MARK HILL DPM

MEDICARE: MARK HILL 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 PodiatristN006100NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548247802
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK HILL DPM
Provider Business Mailing Address
First Line : 514 S BAY RD
Second Line :
City : NORTH SYRACUSE
State : NY
Zip : 13212-3627
Country : US
Telephone Number : 315-458-1777
Fax Number : 315-458-9661
Provider Business Practice Location Address
First Line : 514 S BAY RD
Second Line :
City : NORTH SYRACUSE
State : NY
Zip : 13212-3627
Country : US
Telephone Number : 315-458-1777
Fax Number : 315-458-9661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 02/18/2008

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Directions to “ MARK HILL DPM” Practice Location

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