Provider Demographics
NPI:1629019203
Name:MARKS, VICTOR S (DPM)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:S
Last Name:MARKS
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:550 MAMARONECK AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10528-1634
Mailing Address - Country:US
Mailing Address - Phone:914-723-8100
Mailing Address - Fax:914-219-1928
Practice Address - Street 1:600 MAMARONECK AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10528-1635
Practice Address - Country:US
Practice Address - Phone:914-723-8100
Practice Address - Fax:914-219-1928
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2016-02-10
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Provider Licenses
StateLicense IDTaxonomies
NY2561213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY132977342OtherPOMCO
NYDR4232OtherOXFORD
NY1C4459OtherHEALTHNET
NYP28751Medicare PIN