Grand, Mark Alan

Grand, Mark Alan is an individual health care provider with primary practice located at 447 Atlantic Ave , Brooklyn NY 11217-1702. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Grand, Mark Alan can be contacted via phone (718) 858-6300.

Contact Information

Primary practice address
447 Atlantic Ave Brooklyn NY 11217-1702
Phone: (718) 858-6300
Fax: (718) 858-0145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1539331 New York
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 153933 New York
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 153933 New York

Profile Details

NPI number 1487696514
LBN Legal business name Grand, Mark Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Sep 12th, 2019 - about 6 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 1487696514 NPPES
New York MEDICAID 00927284

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