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NPI Code Detail

MEDICARE: MARK GASPARINI, D.P.M. P.C.

MEDICARE: MARK GASPARINI, D.P.M. P.C.
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
1213EP1101XPrimary Podiatric Medicine PodiatristN006114NY

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 : 1588728687
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARK GASPARINI, D.P.M. P.C.
Provider Business Mailing Address
First Line : 119 NEW YORK AVE
Second Line :
City : MASSAPEQUA
State : NY
Zip : 11758-4601
Country : US
Telephone Number : 516-804-9038
Fax Number : 516-799-2595
Provider Business Practice Location Address
First Line : 119 NEW YORK AVE
Second Line :
City : MASSAPEQUA
State : NY
Zip : 11758-4601
Country : US
Telephone Number : 516-804-9038
Fax Number : 516-799-2595
Authorized Official
Title or Position : PRESIDENT
Name : DR. MARK CHRISTOPHER GASPARINI
Credential : D.P.M.
Telephone Number : 516-804-9038
Provider Enumeration Date : 12/21/2006
Last Update Date : 03/17/2008

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