Provider Demographics
NPI:1669459830
Name:POST, MARK S (DPM)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:S
Last Name:POST
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:514 S BAY RD
Mailing Address - Street 2:
Mailing Address - City:NORTH SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212-3627
Mailing Address - Country:US
Mailing Address - Phone:315-458-1777
Mailing Address - Fax:315-458-6991
Practice Address - Street 1:514 S BAY RD
Practice Address - Street 2:
Practice Address - City:NORTH SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13212-3627
Practice Address - Country:US
Practice Address - Phone:315-458-1777
Practice Address - Fax:315-458-9661
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003970-1213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00906198Medicaid
NY00906198Medicaid
NY53631CMedicare PIN
NYT26754Medicare UPIN