Antosh, Mark
Antosh, Mark is an individual health care provider with primary practice located at 824 Franklin Park Dr , East Syracuse NY 13057-1614. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Antosh, Mark can be contacted via phone (315) 432-1048.Contact Information
Primary practice address
824 Franklin Park Dr
East Syracuse NY 13057-1614
Phone: (315) 432-1048
Fax: (315) 432-9219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | 1835571 | New York |
Profile Details
| NPI number | 1295746584 |
|---|---|
| LBN Legal business name | Antosh, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295746584 | NPPES |
| New York | MEDICAID | 01420837 |
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