Provider Demographics
NPI:1003874488
Name:MARKUS, SIDNEY SAUL (RPH)
Entity Type:Individual
Prefix:MR
First Name:SIDNEY
Middle Name:SAUL
Last Name:MARKUS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 EVENTIDE LN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-5205
Mailing Address - Country:US
Mailing Address - Phone:585-342-6793
Mailing Address - Fax:
Practice Address - Street 1:2150 CHILI AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-3426
Practice Address - Country:US
Practice Address - Phone:585-429-5190
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023123183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist