Agres, Mark

Agres, Mark is an individual health care provider with primary practice located at 26 Sparkill Ave , Staten Island NY 10304-3127. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Agres, Mark can be contacted via phone (718) 979-1091.

Contact Information

Primary practice address
26 Sparkill Ave Staten Island NY 10304-3127
Phone: (718) 979-1091
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 044100 New York

Profile Details

NPI number 1619291309
LBN Legal business name Agres, Mark
Credentials PHARM.D
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2010
Last updated Mar 24th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619291309 NPPES
New York Other 044100 STATE LICENSE NUMBER

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