MARK ANTOSH MD PC NPI 1184716888

NPI Information

  • NPI: 1184716888
  • Provider Name: MARK ANTOSH MD PC
  • Classification: Legal Medicine - 173000000X
  • Entity Type: Organization
  • Former Legal Business Name: YOFFA AND ANTOSH MD'S PC
  • CLIA Number: 33D0696761
  • Address: 824 FRANKLIN PARK DR
    EAST SYRACUSE, NY
    ZIP 13057
  • Phone: (315) 432-1048

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NPI Details

MARK ANTOSH MD PC is a legal medicine in East Syracuse, NY. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. MARK ANTOSH MD PC NPI is 1184716888. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Yoffa And Antosh Md's Pc.

The provider's business location address is:

824 FRANKLIN PARK DR
EAST SYRACUSE, NY
ZIP 13057-614
Phone: (315) 432-1048
Fax: (315) 432-9219

The provider's authorized official is Mark Antosh .
The authorized official title is President and has the following contact phone number (315) 432-9202.

The CLIA number assigned to this NPI record is 33D0696761 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 11/13/2015.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173000000XLegal Medicine1061151NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B80998MEDICARE UPINNEW YORK
234271CMEDICARE ID-TYPE UNSPECIFIEDNEW YORK
3BB1970MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
401420837MEDICAIDNEW YORK
500572349MEDICAIDNEW YORK
6F57621MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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