Gasparini, Mark C

Gasparini, Mark C is an individual health care provider with primary practice located at 119 New York Ave , Massapequa NY 11758-4601. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Gasparini, Mark C can be contacted via phone (516) 804-9038.

Contact Information

Primary practice address
119 New York Ave Massapequa NY 11758-4601
Phone: (516) 804-9038
Fax: (516) 799-2595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N0061141 New York

Profile Details

NPI number 1013000405
LBN Legal business name Gasparini, Mark C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2006
Last updated Sep 29th, 2011 - about 14 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 1013000405 NPPES
New York MEDICAID 02744232

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