Organization
MARK GASPARINI, D.P.M. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CHRISTOPHER GASPARINI D.P.M. (PRESIDENT)
(516) 804-9038
Entity
Organization
Contact information
Practice address
119 NEW YORK AVE, MASSAPEQUA, NY 11758-4601
(516) 804-9038
(516) 799-2595
Mailing address
119 NEW YORK AVE, MASSAPEQUA, NY 11758-4601
(516) 804-9038
(516) 799-2595
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N006114
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02744232
—
NY
Enumeration date
12/21/2006
Last updated
03/17/2008
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