Individual
MARK MAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 BIRDSALL ST, GREENE, NY 13778-1057
(607) 656-4115
Mailing address
33 LEWIS RD, FL 2, BINGHAMTON, NY 13905
(607) 770-0025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
325118
NY
Other
Enumeration date
07/01/2020
Last updated
07/19/2023
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