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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851357560 | NPPES |
| New York | MEDICAID | 00512203 |
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