Provider Demographics
NPI:1033126727
Name:MARKOWITZ, LEE (DPM, PC)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:
Last Name:MARKOWITZ
Suffix:
Gender:M
Credentials:DPM, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 FARVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-3880
Mailing Address - Country:US
Mailing Address - Phone:718-829-7455
Mailing Address - Fax:718-829-9328
Practice Address - Street 1:1387 CASTLE HILL AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-4833
Practice Address - Country:US
Practice Address - Phone:718-829-7455
Practice Address - Fax:718-829-9328
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN03951213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00915857Medicaid
T51274Medicare UPIN
NY00915857Medicaid
4919310001Medicare NSC