Lew, Mark Bernard

Lew, Mark Bernard is an sole proprietor health care provider with primary practice located at 2704 Glenwood Rd Mark B. Lew, Md, Llc, Brooklyn NY 11210-2326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Lew, Mark Bernard can be contacted via phone (718) 859-6440.

Contact Information

Primary practice address
2704 Glenwood Rd Mark B. Lew, Md, Llc Brooklyn NY 11210-2326
Phone: (718) 859-6440
Fax: (718) 434-0368
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 133922 New York

Profile Details

NPI number 1851357560
LBN Legal business name Lew, Mark Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2006
Last updated Oct 28th, 2011 - about 15 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 1851357560 NPPES
New York MEDICAID 00512203

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