Provider Demographics
NPI:1184681777
Name:MARKINSON, BRYAN C (DPM)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:C
Last Name:MARKINSON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 E 98TH ST
Mailing Address - Street 2:BOX 1188
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6501
Mailing Address - Country:US
Mailing Address - Phone:212-824-7160
Mailing Address - Fax:212-241-0822
Practice Address - Street 1:5 E 98TH ST
Practice Address - Street 2:BOX 1188
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6501
Practice Address - Country:US
Practice Address - Phone:212-824-7160
Practice Address - Fax:212-241-0822
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN0033151213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00703466Medicaid
NYP34933Medicare ID - Type Unspecified
NYT51036Medicare UPIN
NY00703466Medicaid