Liszewski, Mark C

Liszewski, Mark C is an individual health care provider with primary practice located at 622 W 168Th St , New York NY 10032-3720. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is his primary health care specialty. Liszewski, Mark C can be contacted via phone (212) 305-1948.

Contact Information

Primary practice address
622 W 168Th St New York NY 10032-3720
Phone: (212) 305-1948
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 272207-01 New York
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 272207-01 New York

Profile Details

NPI number 1962677229
LBN Legal business name Liszewski, Mark C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Dec 22nd, 2023 - about last year

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 1962677229 NPPES
New Jersey MEDICAID 0348783
New Jersey MEDICAID 03570761

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