Ewalt, Mark David

Ewalt, Mark David is an individual health care provider with primary practice located at 1275 York Avenue Dept Of Pathology, Box #36, New York NY 10065. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Molecular Genetic Pathology. Allopathic & Osteopathic Physicians / Molecular Genetic Pathology is his primary health care specialty. Ewalt, Mark David can be contacted via phone (212) 639-8137.

Contact Information

Primary practice address
1275 York Avenue Dept Of Pathology, Box #36 New York NY 10065
Phone: (212) 639-8137
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X DR.0058760 Colorado
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X A121762 California
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X DR.0058760 Colorado
Allopathic & Osteopathic Physicians / Molecular Genetic Pathology 207ZP0007X DR.0058760 Colorado

Profile Details

NPI number 1497998512
LBN Legal business name Ewalt, Mark David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2009
Last updated Aug 25th, 2021 - about 3 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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