Individual
DR. MARK DOUGLAS AIERSTOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1910 SOUTH RD, POUGHKEEPSIE, NY 12601-6027
(845) 454-0120
(845) 454-6080
Mailing address
1910 SOUTH RD, POUGHKEEPSIE, NY 12601-6027
(845) 454-0120
(845) 454-6080
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
017655
ME
207X00000X
Orthopaedic Surgery Physician
238646
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
238646
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03074802
—
NY
Enumeration date
11/29/2005
Last updated
01/23/2014
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