Provider Demographics
NPI:1265492235
Name:MARKOWITZ, GARY DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:DAVID
Last Name:MARKOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:919 WESTFALL RD STE A205
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-2680
Mailing Address - Country:US
Mailing Address - Phone:585-244-2580
Mailing Address - Fax:585-244-3741
Practice Address - Street 1:919 WESTFALL RD STE A205
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2680
Practice Address - Country:US
Practice Address - Phone:585-244-2580
Practice Address - Fax:585-244-3741
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY197887207W00000X, 207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01516852Medicaid
NY01516852Medicaid
NY14474DMedicare PIN