Irwin, Mark B
Irwin, Mark B is an sole proprietor health care provider with primary practice located at 359 Clinton St , Brooklyn NY 11231-3701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Irwin, Mark B can be contacted via phone (646) 460-1479.Contact Information
Primary practice address
359 Clinton St
Brooklyn NY 11231-3701
Phone: (646) 460-1479
Fax: (718) 875-7864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 1685650 | New York |
Profile Details
| NPI number | 1508860263 |
|---|---|
| LBN Legal business name | Irwin, Mark B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Apr 19th, 2017 - about 8 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 | 1508860263 | NPPES |
| New York | MEDICAID | 01128523 |
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