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Individual
DR. MARK ELLIOTT HUPART
Active
Individual
DR. MARK ELLIOTT HUPART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004686
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01180363
—
NY
01
—
06719
MEDICARE GHI
NY
01
—
1306911680
MEDICARE
NY
05
—
1306911680
—
NY
Enumeration date
11/21/2006
Last updated
01/08/2018
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