Gifeisman, Mark

Gifeisman, Mark is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Gifeisman, Mark can be contacted via phone (570) 888-5858.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Phone: (570) 888-5858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35082834 Ohio
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 040863 Connecticut
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35082834 Ohio
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD439852 Pennsylvania

Profile Details

NPI number 1740225234
LBN Legal business name Gifeisman, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Mar 30th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740225234 NPPES
New York MEDICAID 03206888
New York MEDICAID 102445955
New York MEDICAID 2416648

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