Fruiterman, Mark Lester

Fruiterman, Mark Lester is an individual health care provider with primary practice located at 1365 Washington Ave Ste 300, Albany NY 12206-1098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Fruiterman, Mark Lester can be contacted via phone (518) 489-4704.

Contact Information

Primary practice address
1365 Washington Ave Ste 300 Albany NY 12206-1098
Phone: (518) 489-4704
Fax: (518) 489-0512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 116938 New York

Profile Details

NPI number 1609879709
LBN Legal business name Fruiterman, Mark Lester
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jul 8th, 2007 - about 17 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 1609879709 NPPES
New York MEDICAID 00438459

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