Mark, Andrei
Mark, Andrei is an sole proprietor health care provider with primary practice located at 57 W 57Th St Suite#1004, New York NY 10019-2802. He recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Radiology. Dental Providers / Oral and Maxillofacial Pathology is his primary health care specialty. Mark, Andrei can be contacted via phone (212) 813-0707.Contact Information
Primary practice address
57 W 57Th St Suite#1004
New York NY 10019-2802
Phone: (212) 813-0707
Fax: (212) 813-0808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 041022 | New York |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 041022 | New York |
| Dental Providers / Oral and Maxillofacial Radiology | 1223X0008X | 041022 | New York |
Profile Details
| NPI number | 1992729628 |
|---|---|
| LBN Legal business name | Mark, Andrei |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1992729628 | NPPES |
| New York | Other | 112542 | CIGNA HMO |
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