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DOCTOR MARK PHYSICIAN P.C. NPI 1447554605


NPI Information

NPI: 1447554605
Provider Name: DOCTOR MARK PHYSICIAN P.C.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 33D2059045

Address:
1502 E 14TH STREET
SUITE 2
BROOKLYN, NY
ZIP 11230
Phone: (347) 541-6241
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DOCTOR MARK PHYSICIAN P.C. is an obstetrics gynecology in Brooklyn, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DOCTOR MARK PHYSICIAN P.C. NPI is 1447554605. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

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

The provider's authorized official is Mark Vaynkhadler .
The authorized official title is Physicain and has the following contact phone number (646) 707-2950.

The CLIA number assigned to this NPI record is 33D2059045 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2011 and was last updated on 11/3/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology245029NEW YORKNo
2207V00000XObstetrics & GynecologyNEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103031298MEDICAIDNEW YORK
203542454MEDICAIDNEW YORK
3A400080751MEDICARE PINNEW 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.