Organization
MARK ELLIOTT HUPART DOCTOR OF PODIATRIC MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ELLIOTT HUPART D.P.M. (PRESIDENT)
(917) 704-9704
Entity
Organization
Contact information
Practice address
2123 E 70TH ST, BROOKLYN, NY 11234-6101
(917) 704-9704
(718) 241-5764
Mailing address
2123 E 70TH ST, BROOKLYN, NY 11234-6101
(917) 704-9704
(718) 241-5764
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004686
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01180363
—
NY
Enumeration date
11/05/2010
Last updated
11/05/2010
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