Jagust, Mark J

Jagust, Mark J is an sole proprietor health care provider with primary practice located at 2835 Middle Country Rd , Lake Grove NY 11755-2105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jagust, Mark J can be contacted via phone (631) 467-3564.

Contact Information

Primary practice address
2835 Middle Country Rd Lake Grove NY 11755-2105
Phone: (631) 467-3564
Fax: (631) 471-2236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 178630 New York

Profile Details

NPI number 1467493494
LBN Legal business name Jagust, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Aug 10th, 2010 - about 14 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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