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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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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