Borek, Mark Gregory

Borek, Mark Gregory is an sole proprietor health care provider with primary practice located at 26 Research Way , East Setauket NY 11733. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Borek, Mark Gregory can be contacted via phone (631) 444-9970.

Contact Information

Primary practice address
26 Research Way East Setauket NY 11733
Phone: (631) 444-9970
Fax: (631) 444-5247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 156922 New York

Profile Details

NPI number 1922012707
LBN Legal business name Borek, Mark Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Apr 1st, 2011 - about 13 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 1922012707 NPPES
New York MEDICAID 01297103

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