Mark, Emily

Mark, Emily is an sole proprietor health care provider with primary practice located at 28 Olive St , Lake Grove NY 11755-3106. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mark, Emily can be contacted via phone (631) 252-2762.

Contact Information

Primary practice address
28 Olive St Lake Grove NY 11755-3106
Phone: (631) 252-2762
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F347182-01 New York

Profile Details

NPI number 1992463855
LBN Legal business name Mark, Emily
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2021
Last updated Dec 7th, 2021 - about 3 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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