Provider Demographics
NPI:1326063686
Name:MARKOWSKI, GEOFFREY AARON (MD, FAAFP)
Entity Type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:AARON
Last Name:MARKOWSKI
Suffix:
Gender:M
Credentials:MD, FAAFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10399 POAGS HOLE RD
Mailing Address - Street 2:
Mailing Address - City:DANSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14437-9580
Mailing Address - Country:US
Mailing Address - Phone:585-243-3590
Mailing Address - Fax:585-335-9417
Practice Address - Street 1:50 E SOUTH ST STE 800
Practice Address - Street 2:
Practice Address - City:GENESEO
Practice Address - State:NY
Practice Address - Zip Code:14454-1388
Practice Address - Country:US
Practice Address - Phone:585-243-3590
Practice Address - Fax:585-335-9417
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY178095-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01218597Medicaid
NYRB0166Medicare ID - Type Unspecified
NY01218597Medicaid