Individual
MARK BERKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
1239 WATERVIEW ST, FAR ROCKAWAY, NY 11691-1742
(718) 514-7018
Mailing address
1239 WATERVIEW ST, FAR ROCKAWAY, NY 11691-1742
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
006830
NY
Other
Enumeration date
05/09/2014
Last updated
07/05/2017
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