# MARILYN S BOYUKA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447286638
- **Gender:** F
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | N006043 | NY | Yes |

## Other

- **Enumeration date:** 06/23/2006
- **Last updated:** 06/19/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02594714 | — | NY |
| 01 | — | 1447286638 | GROUP MEMBER NPI | — |
| 01 | — | 1831439660 | SOUTHERN TIER PODIATRY, GROUP NPI | — |
| 01 | — | 67743610001 | MEDICARE, DME PTAN | — |
| 01 | — | DU7701 | RR MEDICARE GROUP PTAN | — |
| 01 | — | J100088341 | SOUTHERN TIER PODIATRY, GROUP PTAN | — |
| 01 | — | J400088344 | MEDICARE GROUP MEMBER PTAN | — |
| 01 | — | P01326012 | RR MEDICARE GROUP MEMBER PTAN | — |