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ST. MARK HEALTH LLC NPI 1962927251


NPI Information

NPI: 1962927251
Provider Name: ST. MARK HEALTH, LLC

Other Name: ST. MARK HEALTH, LLC

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
3710 RICHMOND AVE
STATEN ISLAND, NY
ZIP 10312
Phone: (718) 450-0515
Get Directions

ST. MARK HEALTH, LLC is a hematology and oncology internal medicine in Staten Island, NY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. ST. MARK HEALTH, LLC NPI is 1962927251. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is St. Mark Health, Llc.

The provider's business location address is:

3710 RICHMOND AVE
STATEN ISLAND, NY
ZIP 10312-848
Phone: (718) 450-0515
Fax: (718) 450-0071

The provider's authorized official is Rewais Morcus .
The authorized official title is Md and has the following contact phone number (718) 450-0515.

The enumeration date for this NPI number is 8/8/2017 and was last updated on 3/24/2024.


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
1207RG0100XInternal MedicineGastroenterologyNo
2207RH0003XInternal MedicineHematology & OncologyYes
3261QA1903XClinic/CenterAmbulatory SurgicalNo
4261QH0100XClinic/CenterHealth ServiceNo

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
1822046580MEDICAIDNEW YORK
203950727MEDICAIDNEW 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

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