Brandon, Mark Leonard
Brandon, Mark Leonard is an sole proprietor health care provider with primary practice located at 11 Ralph Pl Suite 102, Staten Island NY 10304-4401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Brandon, Mark Leonard can be contacted via phone (718) 447-6545.Contact Information
Primary practice address
11 Ralph Pl Suite 102
Staten Island NY 10304-4401
Phone: (718) 447-6545
Fax: (718) 447-5297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 238123 | New York |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 25MA08490300 | New Jersey |
Profile Details
| NPI number | 1649423146 |
|---|---|
| LBN Legal business name | Brandon, Mark Leonard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2008 |
| Last updated | Apr 4th, 2013 - about 11 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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