DOCTOR MARK PHYSICIAN PC NPI 1164846085

NPI Information

DOCTOR MARK PHYSICIAN PC is a specialist in Brooklyn, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DOCTOR MARK PHYSICIAN PC NPI is 1164846085. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1502 E 14TH ST
STE 2
BROOKLYN, NY
ZIP 11230-283
Phone: (347) 541-6241
Fax: (718) 764-1229

The provider's authorized official is Mark Vaynkhadler .
The authorized official title is President and has the following contact phone number (347) 541-6241.

The CLIA number assigned to this NPI record is 33D2059052 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2014 and was last updated on 2/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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