Furshpan, Mark

Furshpan, Mark is an sole proprietor health care provider with primary practice located at 1563 Montauk Hwy , Oakdale NY 11769-1322. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Furshpan, Mark can be contacted via phone (631) 563-3162.

Contact Information

Primary practice address
1563 Montauk Hwy Oakdale NY 11769-1322
Fax: (631) 563-3185
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 008908 New York

Profile Details

NPI number 1851488704
LBN Legal business name Furshpan, Mark
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Jul 9th, 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 1851488704 NPPES
New York MEDICAID 61010237344

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