Herskovits, Mark
Herskovits, Mark is an individual health care provider with primary practice located at 8900 Van Wyck Expressway , Jamaica NY 11418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Herskovits, Mark can be contacted via phone (718) 206-7794.Contact Information
Primary practice address
8900 Van Wyck Expressway
Jamaica NY 11418
Phone: (718) 206-7794
Fax: (718) 206-6145
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 209110 | New York |
Profile Details
NPI number | 1982664934 |
---|---|
LBN Legal business name | Herskovits, Mark |
Credentials | DO PD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2006 |
Last updated | Feb 1st, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982664934 | NPPES |
New York | MEDICAID | H47691 |
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