Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 165759 | NY |
N | 207VX0000X | Obstetrician | 165759 | NY |
NPI | 1306828173 |
---|---|
Provider Name | Gary R Markoff |
First Address | New York, NY 10016-6055 |
Second Address | New York, NY 10016-6055 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0M2003 | HEALTH NET (01) | NY |
793316 | UNITED HEALTHCARE (01) | NY |
E87357 | (02) | NY |
NP1162 | OXFORD (01) | NY |