Gladstein, Mark

Gladstein, Mark is an sole proprietor health care provider with primary practice located at 2076 E 13Th St , Brooklyn NY 11229-3304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Gladstein, Mark can be contacted via phone (718) 382-7900.

Contact Information

Primary practice address
2076 E 13Th St Brooklyn NY 11229-3304
Fax: (718) 382-7901
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 205366 New York
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 205366 New York

Profile Details

NPI number 1184674061
LBN Legal business name Gladstein, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Jan 20th, 2012 - about 13 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 1184674061 NPPES
New York MEDICAID 02078962

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